| NPI | 1073206017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA C ORTIZ BACHIER President 787-922-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |