| NPI | 1841593852 |
|---|---|
| Doing Business As | SAN MIGUEL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BLANCA CASILLAS Vice President 925-300-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2019-12-20 |