| NPI | 1770710832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA GONZALEZ President 619-489-0330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: ZZ MX3620678) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |