NPI | 1902346737 |
---|---|
Doing Business As | GUSTAVO PENA MUNOZ DDS |
Entity Type | Organization |
Authorized Contact | GUSTAVO PENA MUNOZ Dentist 664-688-1770 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 465953) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2017-02-27 |