| NPI | 1790152650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CAROLINA SANCHEZ BAQUERO Owner 787-415-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 27382) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |