| NPI | 1801288865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO A RAMOS Biller 619-216-6217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: ZZ 2627570) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |