| NPI | 1962980235 |
|---|---|
| Former Legal Business Name | DANIELA MATA |
| Entity Type | Organization |
| Authorized Contact | DANIELA MATA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: 9195154) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |