# DENTAL SERVICES ORGANIZATION LLC

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

## Provider details

- **NPI number:** 1578345518
- **Authorized official:** JOHANNA MORALES TORRES (ADMINISTRADORA)
- **Authorized official phone:** (787) 622-3000

## Contact information

- **Practice address:** MALL PLAZA RIAL, CARR 185 4A 4B KM 0.9, CANOVANAS, PR 00729-0000
- **Practice address phone:** (939) 545-1399
- **Practice address fax:** (787) 622-5384
- **Mailing address:** PO BOX 71114, SAN JUAN, PR 00936-8014
- **Mailing address phone:** (787) 622-3000
- **Mailing address fax:** (787) 622-5384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 039465700 | — | PR |