| NPI | 1740258557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELMA BASORA President/Secretary 787-892-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2510) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |