| NPI | 1386137669 |
|---|---|
| Former Legal Business Name | DAVID GOMEZ |
| Entity Type | Organization |
| Authorized Contact | DAVID GOMEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 9337355) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |