NPI | 1477107506 |
---|---|
Former Legal Business Name | EDUARDO BARREDA |
Entity Type | Organization |
Authorized Contact | EDUARDO BARREDA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |