| NPI | 1427151232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA L. MAYORA-MEIJA Owner 619-352-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 51972) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-09-15 |