| NPI | 1225750581 |
|---|---|
| Doing Business As | SOUTH BAY MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ARTURO KEVIN ELIAS Owner 619-371-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |