| NPI | 1285089268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MARIA GONZALEZ AGUAYE Dentist 01152664-637-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 949364) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |