| NPI | 1326381815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE NMI FISCHBACH Owner 787-888-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 1722) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |