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Organization
CR DIAZ BONILLA DENTISTA PEDIATRICA PSC
Active
Organization
CR DIAZ BONILLA DENTISTA PEDIATRICA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREM ROSA DIAZ DMD (PRINCIPAL)
(787) 447-0892
Entity
Organization
Contact information
Practice address
51 AVE SAN JOSE, SUITE 203, AIBONITO, PR 00705
(787) 735-0575
(787) 735-2390
Mailing address
E28 CALLE 14, URB QUINTAS DE CUPEY, SAN JUAN, PR 00926
(787) 735-0575
(787) 735-2390
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2334
PR
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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