| NPI | 1548953565 |
|---|---|
| Doing Business As | SAN MARCOS MODERN DENTISTRY DENTAL |
| Entity Type | Organization |
| Authorized Contact | VICTORIA NGUYEN Owner Doctor 760-688-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |