| NPI | 1427810670 |
|---|---|
| Former Legal Business Name | SAN BLAS DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | ANAMARIE CRUZ MARTINEZ Dentista 787-486-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-29 |