| NPI | 1720760523 |
|---|---|
| Doing Business As | OCEANSIDE MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALYSSA CARMEN YBARRA Owner 442-264-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |