| NPI | 1083742688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN CELESTE GOTAY Owner 787-743-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2042) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-04-23 |