| NPI | 1730762089 |
|---|---|
| Doing Business As | POWAY COAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | RAFAEL E INFANTE Owner 858-486-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |