| NPI | 1417318684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARDILY GONZALEZ President 787-763-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2658) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |