| NPI | 1942086079 |
|---|---|
| Doing Business As | LA DENTAL BRACES SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | AMANDA WOLFF Supervisor 619-287-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |