NPI | 1508667189 |
---|---|
Former Legal Business Name | MARA ESTHEFANIA LLANES GONZALEZ |
Entity Type | Organization |
Authorized Contact | MARA ESTHEFANIA LLANES GONZALEZ Dentist 562-352-0417 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-03-20 |
Last Update Date | 2025-03-20 |