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Organization
CENTRO AVANZADO DE ODONTOLOGIA ESTETICA,CSP
Active
Organization
CENTRO AVANZADO DE ODONTOLOGIA ESTETICA,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR RAFAEL ORTIZ DMD (PRESIDENT)
(787) 447-7078
Entity
Organization
Contact information
Practice address
165 CALLE BALDORIOTY N, AIBONITO, PR 00705-3234
(787) 735-1741
(787) 735-1741
Mailing address
PO BOX 1378, AIBONITO, PR 00705-1378
(787) 447-7078
(787) 735-1741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1813
PR
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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