NPI | 1720550882 |
---|---|
Former Legal Business Name | CARLOS E BORBOA |
Entity Type | Organization |
Authorized Contact | CARLOS EDUARDO BORBOA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |