| NPI | 1447751136 |
|---|---|
| Former Legal Business Name | OMAR GARCIA |
| Entity Type | Organization |
| Authorized Contact | OMAR GARCIA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: 5928272) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |