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Organization
PLAZA ENDODONTICS PSC
Active
Organization
PLAZA ENDODONTICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HALAIS D.M.D. (PRESIDENT)
(787) 745-3636
Entity
Organization
Contact information
Practice address
201 CALLE GAUTIER BENITEZ, SUITE 200, CAGUAS, PR 00725-5527
(787) 745-3636
Mailing address
PO BOX 7706, CAGUAS, PR 00726-7706
(787) 745-3636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1893
PR
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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