NPI | 1922509108 |
---|---|
Former Legal Business Name | GLADYS FLORES |
Entity Type | Organization |
Authorized Contact | GLADYS FLORES Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 1731204) |
Enumeration Date | 2018-02-23 |
Last Update Date | 2018-02-23 |