| NPI | 1710593017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON RUIZ-FEBO Managing Member 787-460-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |