| NPI | 1417460163 |
|---|---|
| Doing Business As | DENTAL PREMIER KIDS |
| Entity Type | Organization |
| Authorized Contact | MONICA C LEON HINOJOSA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 1787265) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |