NPI | 1790210037 |
---|---|
Doing Business As | GLORIA E. BALDERAS DDS |
Entity Type | Organization |
Authorized Contact | GLORIA E BALDERAS Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 6324903) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2017-04-24 |