NPI | 1619478963 |
---|---|
Former Legal Business Name | TERESA ROSAS |
Entity Type | Organization |
Authorized Contact | TERESA ROSAS Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: 3188041) |
Enumeration Date | 2018-02-22 |
Last Update Date | 2018-02-22 |