| NPI | 1801054788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX RAMOS Distict Manager 619-307-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55630) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |