Individual
COSME VELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2284 I YTURRALDE DR, CALEXICO, CA 92231-9795
(619) 831-0437
(619) 785-3404
Mailing address
710 E SAN YSIDRO BLVD STE 128, SAN YSIDRO, CA 92173-3123
(619) 831-0437
(619) 785-3404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2515225
ZZ
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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