NPI | 1407353378 |
---|---|
Former Legal Business Name | RAFAEL ALCARAZ |
Entity Type | Organization |
Authorized Contact | RAFAEL ALCARAZ Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 709460) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-04-09 |