NPI | 1710255070 |
---|---|
Entity Type | Organization |
Authorized Contact | AILEEN E SMITH President 787-852-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2060) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |