| NPI | 1760646467 |
|---|---|
| Doing Business As | ALTA VISTA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JORGE ALBERTO URREA President 760-734-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54777) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |