| 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 |