| NPI | 1699314625 |
|---|---|
| Doing Business As | JONATHAN CALLEROS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CALLEROS Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |