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Organization
ADVANCED ENDODONTIC CENTER LLC
Active
Organization
ADVANCED ENDODONTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBASTIAN ANDRES RODRIGUEZ DMD (PRESIDENTE)
(787) 641-1340
Entity
Organization
Contact information
Practice address
PLAZA TROPICAL #11, CARR 167 KM. 22.2, BAYAMON, PR 00959
(787) 641-1340
(787) 641-0804
Mailing address
PLAZA TROPICAL #11, CARR 167 KM. 22.2, BAYAMON, PR 00959-9998
(787) 641-1340
(787) 641-0804
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039141802
—
PR
Enumeration date
07/28/2021
Last updated
06/04/2025
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