| NPI | 1831467265 |
|---|---|
| Doing Business As | A DENTAL SPOT |
| Entity Type | Organization |
| Authorized Contact | HAROLD PORTILLA Owner 760-738-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51989) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |