| NPI | 1861992323 |
|---|---|
| Doing Business As | THE SUPER DENTISTS |
| Entity Type | Organization |
| Authorized Contact | LAURA FLORES Manager 619-636-2665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |