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Organization
SAN JUAN PERIODONTICS
Active
Organization
SAN JUAN PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN RAFAEL SILVA MD (PRESIDENT)
(787) 281-6681
Entity
Organization
Contact information
Practice address
6 CALLE PONCE, PEREZ MORRIS, SAN JUAN, PR 00917-5021
(787) 281-6681
(787) 250-1392
Mailing address
6 CALLE PONCE, PEREZ MORRIS, SAN JUAN, PR 00917-5021
(787) 281-6681
(787) 250-1392
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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