| NPI | 1255453882 |
|---|---|
| Former Legal Business Name | SAN DIEGO CHILDREN'S DENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARILUCI COSTA BYRNES Director Of Dental Operations 619-234-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-04-25 |