NPI | 1700949013 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS LIONEL MARTINEZ Dueno 787-250-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-12-18 |
Last Update Date | 2010-07-13 |