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Organization
ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION
Active
Organization
ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO JAVIER ROSA DMD (PRESIDENT)
(787) 850-1085
Entity
Organization
Contact information
Practice address
52 CALLE DOLORES CABRERA ALONSO E, HUMACAO, PR 00791-4269
(787) 850-1085
Mailing address
563 CALLE ECHEGARAY, LITHEDA HEIGHTS, SAN JUAN, PR 00926-4416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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