# CENTRO DENAL PEDIATRICO SMILES 'R' US CSP

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

## Provider details

- **NPI number:** 1366746901
- **Authorized official:** MRS. ELIZABETH ROSARIO (PRESIDENT)
- **Authorized official phone:** (787) 887-7693

## Contact information

- **Practice address:** CALLE PIMENTEL \#45, 2ND FLOOR, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 887-7693
- **Practice address fax:** (787) 887-8626
- **Mailing address:** PO BOX 2296, RIO GRANDE, PR 00745
- **Mailing address phone:** (787) 887-7693
- **Mailing address fax:** (787) 887-8626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 1443 | PR | Yes |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 12/22/2010