| NPI | 1740781004 |
|---|---|
| Former Legal Business Name | ALEXANDER ACEVEDO |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ACEVEDO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 08732729) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |