NPI | 1245467307 |
---|---|
Entity Type | Organization |
Authorized Contact | DEMETRIO LANDEROS President 619-734-2358 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: ZZ MX721191) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |