| NPI | 1396191052 |
|---|---|
| Doing Business As | ENRIQUETA VERDUGO D.D.S. |
| Entity Type | Organization |
| Authorized Contact | ENRIQUETA VERDUGO Dentist 01152664-684-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 159933) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |