NPI | 1255790101 |
---|---|
Doing Business As | SAN MARCOS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOANNA EL-MAASRI REPPAS Owner/Dentist 760-798-4178 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 62740) |
Enumeration Date | 2016-02-21 |
Last Update Date | 2016-02-21 |