NPI | 1962964072 |
---|---|
Former Legal Business Name | ROSALIA ESTRADA |
Entity Type | Organization |
Authorized Contact | ROSALIA ESTRADA Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-04-05 |
Last Update Date | 2019-04-05 |