| NPI | 1679081244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS RIVERA-ZAYAS Owner 339-999-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1857819) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-06-08 |