| NPI | 1558630004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO RAMOS Biller 619-992-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 1926131) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |