# SAN BLAS DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN BLAS DENTAL LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427810670
- **Authorized official:** MRS. ANAMARIE CRUZ MARTINEZ DMD (DENTISTA)
- **Authorized official phone:** (787) 486-7027

## Contact information

- **Practice address:** 21 CALLE JOSE I QUINTON, COAMO, PR 00769-2466
- **Practice address phone:** (787) 825-8585
- **Mailing address:** 161 CALLE CONSULADO, COAMO, PR 00769-9819
- **Mailing address phone:** (787) 825-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/29/2024