# CENTRO DENTAL PEDIATRICO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dra. Maricdali Santiago Torres
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881781516
- **Authorized official:** MARIEDALI SANTIAGO TORRES DMD (PEDIATRIC DOCTOR)
- **Authorized official phone:** (787) 860-4088

## Contact information

- **Practice address:** GENERAL VALERO AVENUE, 311, FAJARDO, PR 00738
- **Practice address phone:** (787) 860-4088
- **Practice address fax:** (787) 863-2441
- **Mailing address:** PO BOX 1144, FAJURDO, PR 00738
- **Mailing address phone:** (787) 860-4088
- **Mailing address fax:** (787) 863-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020