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Individual
DR. MARIO FALLETTI
Active
Individual
DR. MARIO FALLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PR2369
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041980
CRUZ AZUL
PR
01
—
1192
IMC
PR
01
—
206286
PREFERED HEALTH
PR
01
—
2369
LICENCIA DENTAL
PR
01
—
42352
SSS
PR
01
—
6230072
HUMANA
PR
01
—
70141
PREFERED MEDICARE CHOICE
PR
Enumeration date
10/02/2006
Last updated
07/08/2007
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