| NPI | 1487082046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISAMA CHAVEZ Office Manager 858-784-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2021-02-08 |