NPI | 1629614490 |
---|---|
Former Legal Business Name | CLAUDIA RODRIGUEZ |
Entity Type | Organization |
Authorized Contact | CLAUDIA RODRIGUEZ Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-11-26 |
Last Update Date | 2019-11-26 |