| NPI | 1619352069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN ANDRES UCROS Owner 787-242-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN19260) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |