NPI | 1457503922 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA SERRANO Administrator 619-270-2243 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ZZ Mx15793) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2008-10-16 |