| NPI | 1316685019 |
|---|---|
| Doing Business As | DENTT |
| Entity Type | Organization |
| Authorized Contact | VANESSA FERNANDEZ Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |