| NPI | 1548320849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHAFIR J PETROS Dentist 619-285-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 47154) |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |