Provider Demographics
NPI:1346583069
Name:Z.E.S CUISIA DDS INC. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:Z.E.S CUISIA DDS INC. A PROFESSIONAL CORPORATION
Other - Org Name:CHILDREN'S DENTISTRY OF SAN DIEGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ZENAIDA ELVIRA
Authorized Official - Middle Name:SILVIA
Authorized Official - Last Name:CUISIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-536-1111
Mailing Address - Street 1:10717 CAMINO RUIZ
Mailing Address - Street 2:103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2360
Mailing Address - Country:US
Mailing Address - Phone:858-536-1111
Mailing Address - Fax:
Practice Address - Street 1:10717 CAMINO RUIZ
Practice Address - Street 2:103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2360
Practice Address - Country:US
Practice Address - Phone:858-536-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty