| NPI | 1851918866 |
|---|---|
| Former Legal Business Name | VELAZQUEZ DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LUIS ALFREDO VELAZQUEZ President 951-446-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-28 |