| NPI | 1083808455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THANYAH ISOBEL PEREZ Owner 787-872-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2493) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |