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Organization
FAMILY DENTAL PR LLC
Active
Organization
FAMILY DENTAL PR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRISEL MARTIR MORENO (ADMINISTRATOR)
(787) 833-5917
Entity
Organization
Contact information
Practice address
1065 AVE LOS CORAZONES STE 204, MAYAGUEZ, PR 00680-7064
(787) 208-9332
Mailing address
1065 AVE LOS CORAZONES STE 204, MAYAGUEZ, PR 00680-7064
(787) 208-9332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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