| NPI | 1689043531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN E LAFONTAINE President 787-515-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2080) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |