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Organization
CONCEPTOS DENTALES DEL SUR
Active
Organization
CONCEPTOS DENTALES DEL SUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L RIVERA DMD (ADMINISTRATOR)
(787) 837-8667
Entity
Organization
Contact information
Practice address
4 CALLE SANTIAGO VEVE, JUANA DIAZ, PR 00795-1653
(787) 837-8667
(787) 837-9679
Mailing address
4 CALLE SANTIAGO VEVE, JUANA DIAZ, PR 00795-1653
(787) 837-8667
(787) 837-9679
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D2131
PR
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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