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Organization
LRC ESTHETIC DENTAL CARE
Active
Organization
LRC ESTHETIC DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAM EDITH RIVERA CAMACHO DMD (PRESIDENT)
(787) 773-0123
Entity
Organization
Contact information
Practice address
576 CALLE CESAR GONZALEZ STE 301, SAN JUAN, PR 00918-3757
(787) 773-0123
Mailing address
PO BOX 6063, CAGUAS, PR 00726-6063
(787) 773-0123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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