| NPI | 1164615761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSETTE MELON CRUZ President 787-278-2119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2129) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |