Organization · Type 2 NPI

Cristobal Portugal

Dentist · Tijuana, MX

NPI number 1043745623 Active

Practice location

Gobernador Lugo 9531, Ste 4
Tijuana, MX 22044

Fax (866) 272-6924

Mailing address

4275 Executive Sq, Ste 200
La Jolla, CA 92037-9123

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2868480 (ZZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1043745623

Cristobal Portugal's National Provider Identifier is 1043745623, issued on Apr 20, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Tijuana, MX. The record was last updated on Apr 20, 2017.