NPI | 1265904320 |
---|---|
Former Legal Business Name | OMAR KARIM CASTANEDA |
Entity Type | Organization |
Authorized Contact | OMAR KARIM CASTANEDA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |