| NPI | 1295240760 |
|---|---|
| Doing Business As | TRINIDAD ASTORGA D.D.S. |
| Entity Type | Organization |
| Authorized Contact | TRINIDAD ASTORGA Dentist 664-685-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 3689985) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 4452843) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |