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Organization
COMPLETE HEALTH DENTISTRY PSC
Active
Organization
COMPLETE HEALTH DENTISTRY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN RODRIGUEZ (PROSTHODONTIST)
(787) 265-5701
Entity
Organization
Contact information
Practice address
45 ANDALUCIA ST., SUITE 201, URB. SULTANA, MAYAGUEZ, PR 00680
(787) 265-5701
Mailing address
45 ANDALUCIA ST., SUITE 201, URB. SULTANA, MAYAGUEZ, PR 00680
(787) 265-5701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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