| NPI | 1851925481 |
|---|---|
| Doing Business As | LA DENTAL BRACES |
| Doing Business As | LA DENTAL BRACES SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | AMANDA WOLFF DOS SANTOS President 619-204-8082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-02-22 |