NPI | 1336407410 |
---|---|
Doing Business As | BONITA ART OF AESTHETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARIA LUISA C. VALES Dentist 619-427-2646 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43262) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2012-04-26 |