| NPI | 1891296166 |
|---|---|
| Former Legal Business Name | JOSE GUZMAN |
| Entity Type | Organization |
| Authorized Contact | JOSE GUZMAN Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 1284565) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |