| NPI | 1285508028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITZEL M GALLEGOS MARES Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |