| NPI | 1275209629 |
|---|---|
| Doing Business As | THE FOSS'N XPERTS |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH BORQUEZ Clinic Director 619-647-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |