| NPI | 1114172681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID M ROSSO-TRIDAS Owner 787-837-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 1646) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |