| NPI | 1417284795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURORA SANCHEZ Owner 619-804-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 805918) |
| Additional Taxonomies | 122300000X Dentist (Licence: ZZ 4685221) |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2010-06-29 |