| NPI | 1225496383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECA POWER President 772-220-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |