| NPI | 1740010909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR VALDEZ QUIROZ Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-05 |