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Organization
GREAT SMILES LLC
Active
Organization
GREAT SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA CRISTINA SANCHEZ QUINONES DMD (PRESIDENT)
(787) 674-8733
Entity
Organization
Contact information
Practice address
CLINICA Y LABORATORIO DENTAL TOA ALTA HEIGHTS, CARR 829 KM 2.9, TOA ALTA, PR 00953
(787) 797-3851
Mailing address
CLINICA Y LABORATORIO DENTAL TOA ALTA HEIGHTS, CARR #829 KM 2.7, TOA ALTA, PR 00953
(787) 797-3851
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223D0001X
Public Health Dentistry
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
07/01/2022
Last updated
06/01/2024
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