NPI | 1356823595 |
---|---|
Former Legal Business Name | ARMANDO MONTALVO |
Entity Type | Organization |
Authorized Contact | ARMANDO MONTALVO Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |