| NPI | 1326734401 |
|---|---|
| Doing Business As | PERIO & IMPLANTS TIJUANA |
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL W GASTELUM Dentist 664-252-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |