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Organization
DENTAL SERVICES ORGANIZATION LLC
Active
Organization
DENTAL SERVICES ORGANIZATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA MORALES TORRES (ADMINISTRADORA)
(787) 622-3000
Entity
Organization
Contact information
Practice address
MALL PLAZA RIAL, CARR 185 4A 4B KM 0.9, CANOVANAS, PR 00729-0000
(939) 545-1399
(787) 622-5384
Mailing address
PO BOX 71114, SAN JUAN, PR 00936-8014
(787) 622-3000
(787) 622-5384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039465700
—
PR
Enumeration date
10/16/2023
Last updated
10/16/2023
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