| NPI | 1427633528 |
|---|---|
| Former Legal Business Name | RANDAL MEJIA |
| Entity Type | Organization |
| Authorized Contact | RANDAL MEJIA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |