| NPI | 1003119058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ DESIREE VISBAL President/Owner 787-431-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PR 2829) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |