# ESCUELA DE ODONTOLOGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295852598
- **Authorized official:** DAMARIS MOLINA (ASSISTAN PROFESSOR)
- **Authorized official phone:** (787) 758-2525

## Contact information

- **Practice address:** AVE BARBOSA 608, CLINICA DENTAL COMUNITARIA CANTERA SUITE 4, SAN JUAN, PR 00919-1274
- **Practice address phone:** (787) 728-4190
- **Practice address fax:** (787) 728-4190
- **Mailing address:** PO BOX 365067, SAN JUAN, PR 00936-5067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020