| NPI | 1265526727 |
|---|---|
| Former Name | ANGELA BUITRAGO-DEFABRIQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 15807) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-07-26 |