| NPI | 1740498526 |
|---|---|
| Doing Business As | LA JOLLA DEL SUR DENTAL |
| Entity Type | Organization |
| Authorized Contact | GERALD MIYAMOTO CEO 858-454-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47291) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |