| NPI | 1770237521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINO DEL FIERRO General Partner 619-216-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |