NPI | 1720585961 |
---|---|
Former Legal Business Name | SILVIA V COVARRUBIAS |
Entity Type | Organization |
Authorized Contact | SILVIA V COVARRUBIAS Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 5580956) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |