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Organization
UNIVERSITY OF PUERTO RICO MSC
Active
Organization
UNIVERSITY OF PUERTO RICO MSC
Active
Other names
PEDIATRIC UNIVERSITY HOSP DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL J AYMAT DMD (PROGRAM DIRECTOR)
(787) 758-2525
Entity
Organization
Contact information
Practice address
PEDIATRIC DENTISTRY CLINICS, CENTRO MEDICO, SAN JUAN, PR 00935-0001
(787) 758-2525
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 758-7871
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0000
PR
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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