| NPI | 1548927569 |
|---|---|
| Former Legal Business Name | PRO ESTHETIC DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | NADYAN VARGAS Dmd 787-265-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |