| 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 |