| NPI | 1215635644 |
|---|---|
| Doing Business As | DORAL SELECT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GABRIEL ANTONIO QUINONES-BETANCOURT Manager 614-915-5078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |