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Organization
BEAUTIFUL SMILE DENTAL OFFICE INC
Active
Organization
BEAUTIFUL SMILE DENTAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ZORIMA DE JESUS-RIVERA (MANAGER)
(787) 832-6332
Entity
Organization
Contact information
Practice address
770 AVE HOSTOS, 203, MAYAGUEZ, PR 00682-1551
(787) 832-6332
Mailing address
770 AVE HOSTOS, 203, MAYAGUEZ, PR 00682-1551
(787) 832-6332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3183
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366586638
—
PR
Enumeration date
06/02/2016
Last updated
06/02/2016
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