NPI | 1629596713 |
---|---|
Doing Business As | ILDEFONSO MURILLO DDS |
Entity Type | Organization |
Authorized Contact | ILDEFONSO MURILLO Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 979367) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-07-21 |