| NPI | 1235404278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO RAMOS Manager 664-685-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 709613) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |