NPI | 1962726984 |
---|---|
Former Legal Business Name | OFICINA DENTAL LOS DOMINICOS |
Entity Type | Organization |
Authorized Contact | EDMARIE DE JESUS Administrative 787-784-0520 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PR 2242) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2010-03-19 |