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Organization
EJ DENTAL P.S.C.
Active
Organization
EJ DENTAL P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSA JUSTINIANO DMD (PRESIDENT)
(787) 798-9424
Entity
Organization
Contact information
Practice address
AVE LAUREL 3R40, LOMAS VERDES, BAYAMON, PR 00956
(787) 798-9424
Mailing address
AVE LAUREL 3R40, LOMAS VERDES, BAYAMON, PR 00956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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