# ABC PEDIATRIC DENTAL CLINIC, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871740308
- **Authorized official:** DR. ALEXIS R. PAGAN DMD (PRESIDENT)
- **Authorized official phone:** (787) 727-3838

## Contact information

- **Practice address:** 253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
- **Practice address phone:** (787) 727-3838
- **Practice address fax:** (787) 727-3821
- **Mailing address:** 253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
- **Mailing address phone:** (787) 727-3838
- **Mailing address fax:** (787) 727-3821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 2424 | PR | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008