| NPI | 1528369188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK GARRETT ROARK President 787-948-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2379) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |