| NPI | 1396015335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETTE MORALES Dentist 787-473-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PR 2822) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |