NPI | 1861139172 |
---|---|
Doing Business As | BONITA DEL REY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DANNY J HOLTZACLAW Owner 619-482-3264 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-05-18 |
Last Update Date | 2022-05-18 |