| NPI | 1003033747 |
|---|---|
| Doing Business As | GRUPO DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUIS M MARTINEZ RUIZ President 787-999-3063 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| 1223P0300X Dentist Periodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-09-17 |