| NPI | 1306316013 |
|---|---|
| Former Legal Business Name | JUAN MANUEL OLIVAR |
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL OLIVAR Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |