NPI | 1265186654 |
---|---|
Doing Business As | SOCAL REGENERATION INC |
Entity Type | Organization |
Authorized Contact | CARLOS S MONTALVO President 619-917-7766 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-02-04 |
Last Update Date | 2023-07-08 |