| NPI | 1326558941 |
|---|---|
| Doing Business As | DENTAL OTAY |
| Entity Type | Organization |
| Authorized Contact | NORMA E ZARATE Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2390419) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 7187158) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |