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Organization
DENTAL SERVICES ORGANIZATION LLC
Active
Organization
DENTAL SERVICES ORGANIZATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA MORALES TORREO BSN (ADMINISTRADORA/APPEALS AND GRIEVANC)
(787) 622-3000
Entity
Organization
Contact information
Practice address
CENTRO COMERCIAL PLAZA RIAL, CARR 185 KM 0.9, CANOVANAS, PR 00729
(787) 622-3000
(787) 620-5384
Mailing address
PO BOX 71114, SAN JUAN, PR 00936-8014
(787) 622-3000
(787) 620-5384
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
261QC0050X
Critical Access Hospital Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
302F00000X
Exclusive Provider Organization
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
Other
Enumeration date
06/23/2020
Last updated
07/14/2023
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