| NPI | 1952820383 |
|---|---|
| Doing Business As | MYRNA CARLIN D.D.S. |
| Entity Type | Organization |
| Authorized Contact | MYRNA CARLIN DEL OLIVAR Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 1298981) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 69108944) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |