NPI | 1811597693 |
---|---|
Former Legal Business Name | MAYRA G GARIBAY |
Entity Type | Organization |
Authorized Contact | MAYRA G GARIBAY Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |