| NPI | 1700833993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO FERNANDO OCHOA President 619-205-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MX) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MX) |
| 1223E0200X Dentist, Endodontics (Licence: MX) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: MX) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MX) | |
| 126800000X Dental Assistant (Licence: MX) | |
| 124Q00000X Dental Hygienist (Licence: MX) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |