NPI | 1730658576 |
---|---|
Former Legal Business Name | CARLOS ALBERTO YEPEZ |
Entity Type | Organization |
Authorized Contact | CARLOS ALBERTO YEPEZ Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-11-22 |
Last Update Date | 2018-11-22 |