| NPI | 1801397633 |
|---|---|
| Former Legal Business Name | ROGELIO BANDA |
| Entity Type | Organization |
| Authorized Contact | ROGELIO BANDA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 8404353) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |