| NPI | 1811696214 |
|---|---|
| Doing Business As | COSTA MESA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CESAR AUGUSTO ECHEVERRY Dentist 703-309-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |