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Organization
KIP ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization
KIP ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDRA IRIZARRY PAGAN DMD (OWNER)
(917) 705-2383
Entity
Organization
Contact information
Practice address
27 CALLE DR NELSON PEREA STE 205, MAYAGUEZ, PR 00680-4970
(917) 705-2383
Mailing address
27 CALLE DR NELSON PEREA STE 205, MAYAGUEZ, PR 00680-4970
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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