NPI | 1760682686 |
---|---|
Doing Business As | MIRA COSTA DENTAL |
Entity Type | Organization |
Authorized Contact | JOSE M DUENES Owner President 760-941-7502 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 35047) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2008-07-17 |