| NPI | 1831912575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LETICIA CASTELO GONZALEZ Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |