| NPI | 1518770171 |
|---|---|
| Former Legal Business Name | EZEQUIEL MENDOZA BECERRIL |
| Entity Type | Organization |
| Authorized Contact | EZEQUIEL MENDOZA BECERRIL Dentist 562-352-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |