| NPI | 1467299792 |
|---|---|
| Doing Business As | PRODENT MX |
| Entity Type | Organization |
| Authorized Contact | ALEXIA YAZMIN BURCIAGA APODACA Provider 562-525-2738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |