NPI | 1548745300 |
---|---|
Doing Business As | CALI BAJA MEDICAL LLC |
Entity Type | Organization |
Authorized Contact | CESAR AUGUSTO MANRIQUE MORENO Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |