| NPI | 1750415402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SANTIAGO President 787-792-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PR 1520) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |