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Organization
ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization
ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN G FUENTES ARROYO DMD (SOLE MBR)
(787) 403-3587
Entity
Organization
Contact information
Practice address
29 CALLE WASHINGTON STE 502-503, SAN JUAN, PR 00907-1510
(787) 403-3587
Mailing address
PALMAS PLANTATION, PALMAS DEL MAR, 51, HUMACAO, PUERTO RICO 00791
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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