| 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 |