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Organization
RG DENTAL PSC
Active
Organization
RG DENTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SOTO (PRESIDENT)
(787) 887-4020
Entity
Organization
Contact information
Practice address
A1 AVENIDA AGUSTIN PEREZ ANDINO, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 887-7907
(787) 887-4676
Mailing address
PO BOX 2252, RIO GRANDE, PR 00745-2239
(787) 887-4020
(787) 887-4676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1946
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033218961
NPI PERSONAL
PR
Enumeration date
10/13/2015
Last updated
10/13/2015
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