| NPI | 1295732147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIO JAVIER SUMAZA Presidente 787-986-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: PR 2496) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-06-28 |