| NPI | 1730681032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA GONZALEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: 10379401) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |