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Organization
MERILE WCC DENTAL SERVICES
Active
Organization
MERILE WCC DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA CRUZADO (PRESIDENT)
(787) 780-8176
Entity
Organization
Contact information
Practice address
DC8 AVE MINILLAS, STA JUANITA, BAYAMON, PR 00956
(787) 780-8176
Mailing address
PO BOX 6984, BAYAMON, PR 00960-5984
(787) 780-8176
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2280
PR
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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