| NPI | 1760986590 |
|---|---|
| Former Legal Business Name | GABRIEL GODINEZ |
| Entity Type | Organization |
| Authorized Contact | GABRIEL GODINEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: 10301020) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |