NPI | 1508286048 |
---|---|
Entity Type | Organization |
Authorized Contact | HILDA M MENDEZ President 787-567-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2057) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2279) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2016-01-26 |