NPI | 1720483191 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN L MOLINA Director 787-765-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |