| NPI | 1508611492 |
|---|---|
| Doing Business As | COSMETIC & IMPLANT DENTISTRY OF LA JOLLA |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Sr Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |