| NPI | 1356471460 |
|---|---|
| Doing Business As | CHILDREN'S PRIMARY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID VELAZQUEZ Office Manager 619-425-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 40677) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-05-27 |