| NPI | 1285100255 |
|---|---|
| Doing Business As | REVOLUCION CLINICA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA RANGEL Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |