NPI | 1508005729 |
---|---|
Doing Business As | DENTAL ARTS OF PALM AVENUE |
Entity Type | Organization |
Authorized Contact | JAIME ACUNA LOERA Dentist/Owner 619-424-3456 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 48320) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |