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Organization
ABC PEDIATRIC DENTAL CLINIC, PSC
Active
Organization
ABC PEDIATRIC DENTAL CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS R. PAGAN DMD (PRESIDENT)
(787) 727-3838
Entity
Organization
Contact information
Practice address
253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
(787) 727-3838
(787) 727-3821
Mailing address
253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
(787) 727-3838
(787) 727-3821
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2424
PR
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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