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Organization

OTIS ORTHODONTICS PSC

Active
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Organization

OTIS ORTHODONTICS PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE C VICENS DMD (PRESIDENT)
(787) 633-6847
Entity
Organization

Contact information

Practice address
A7 URB SAN ANTONIO, HUMACAO, PR 00791
(787) 285-5544
Mailing address
PO BOX 758, HUMACAO, PR 00792-0758
(787) 285-5544

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2708
PR

Other

Enumeration date
08/06/2015
Last updated
08/06/2015
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