| NPI | 1063660116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEAN MARTINEZ President 787-607-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PR 2712) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PR 2702) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |