| NPI | 1366955783 |
|---|---|
| Doing Business As | JOSE L. EDEZA DDS |
| Entity Type | Organization |
| Authorized Contact | JOSE L. EDEZA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 5242825) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |