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Organization
VALLE TOLIMA DENTAL CARE LLC
Active
Organization
VALLE TOLIMA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO VELEZ DMD (OWNER)
(787) 744-7747
Entity
Organization
Contact information
Practice address
A15 AVE PRINCIPAL OESTE, DEL RIO SHOPPING CENTER, CAGUAS, PR 00725
(787) 744-7747
(787) 703-3220
Mailing address
PO BOX 1747, CAGUAS, PR 00726-1747
(787) 744-7747
(787) 703-3220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1656
PR
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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