| NPI | 1770931263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO ALBERTO ARRAYALES Dentist 01152664-685-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 1810489) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |