NPI | 1558788562 |
---|---|
Former Legal Business Name | ASHFORD DENTAL |
Entity Type | Organization |
Authorized Contact | OMAR R CRUZ Prosthodontist 787-998-7778 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PR 3153) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PR 3155) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2014-03-27 |