| NPI | 1689848962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASPAR LUGO Dentist Periodontist 787-884-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2163) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |