NPI | 1366186843 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSENDO GARZA Dds 951-807-3078 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-21 |
Last Update Date | 2025-06-16 |