NPI | 1407398670 |
---|---|
Doing Business As | DANIEL O SOTELO CRUZ DDS |
Entity Type | Organization |
Authorized Contact | DANIEL OSVALDO SOTELO CRUZ Dentist 800-743-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 7065437) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2016-11-04 |