| NPI | 1588169643 |
|---|---|
| Doing Business As | STAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | GINA SERRANO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2378728) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |