| NPI | 1518184472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN LUGUE SALAZAR Dentist 619-271-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49400) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |