NPI | 1932513835 |
---|---|
Entity Type | Organization |
Authorized Contact | GAMALIER AYALA Doctor/President 787-880-0365 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PR 2500) |
Enumeration Date | 2014-06-18 |
Last Update Date | 2014-06-18 |