| NPI | 1396312997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER LOPEZ Office Manager 858-779-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-09-13 |