| NPI | 1417318437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELISARIO GARCIA-WILLIAMS Dentist 01152664-684-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 417014) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |