# FDG SERVICIOS DENTALES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134282304
- **Authorized official:** DR. FRANCISCO L GUEVARA D.M.D. (DENTIST)
- **Authorized official phone:** (787) 890-4106

## Contact information

- **Practice address:** AVENIDA GENERAL RAMEY \#22, SAN ANTONIO, PR 00690
- **Practice address phone:** (787) 890-4106
- **Mailing address:** PO BOX 784, SAN ANTONIO, PR 00690-0784
- **Mailing address phone:** (787) 890-4106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1407 | PR | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 07/11/2008