| NPI | 1518553809 |
|---|---|
| Doing Business As | EJ DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELVIA JUAREZ MATA Dentist 760-775-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |