| NPI | 1255037164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MORALES Dental Billing Department 619-209-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |