NPI | 1699040659 |
---|---|
Doing Business As | RALPH L. RAYA, D.D.S., INC DBA TIERRASANTA PLAZA DENTAL CARE |
Entity Type | Organization |
Authorized Contact | NORMAN DALE MITTLEMAN President 858-354-1229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 23939) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2015-04-24 |