| NPI | 1558872747 |
|---|---|
| Doing Business As | MARIA DE LOURDES CORONEL CHAIDEZ D.D.S. |
| Entity Type | Organization |
| Authorized Contact | MARIA DE LOURDES CORONEL CHAIDEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 9411865) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |