| NPI | 1447352810 |
|---|---|
| Doing Business As | LA MESA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NICOLE REID Regional Manager 619-261-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 31040) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |