| NPI | 1801156013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL L DAVILA PABON Owner 787-725-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2729) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |