| NPI | 1891462966 |
|---|---|
| Doing Business As | DENTT |
| Entity Type | Organization |
| Authorized Contact | NEURY A MORAN Dentist 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |