| NPI | 1619123437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCIO TOMAS BURQUEZ Dentist 619-934-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39374) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2012-09-25 |