| NPI | 1982893087 |
|---|---|
| Other Name | FABRIEL D BURQUEZ DDS INC |
| Entity Type | Organization |
| Authorized Contact | FABRIEL DARIO BURQUEZ Dentist 619-479-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49476) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |