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Organization
SAN JUAN PEDIATRIC DENTAL HOME PSC
Active
Organization
SAN JUAN PEDIATRIC DENTAL HOME PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL JOAQUIN AYMAT DMD (PRESIDENT AND PEDIATRIC DENTIST)
(787) 765-2679
Entity
Organization
Contact information
Practice address
282 AVE PINERO STE 211, PLAZA EL AMAL, SAN JUAN, PR 00927-3918
(787) 765-2679
(787) 753-3934
Mailing address
282 AVE PINERO STE 211, PLAZA EL AMAL, SAN JUAN, PR 00927-3918
(787) 765-2679
(787) 753-3934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1980
PR
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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