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Organization
OFICINA DENTAL LOS DOMINICOS, PSC
Active
Organization
OFICINA DENTAL LOS DOMINICOS, PSC
Active
Other names
OFICINA DENTAL LOS DOMINICOS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDMARIE DE JESUS MRS (ADMINISTRATIVE)
(787) 784-0520
Entity
Organization
Contact information
Practice address
AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER, LOCAL 21 B , LEVITTOWN, TOA BAJA, PR 00949-0000
(787) 784-0520
Mailing address
AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER, LOCAL 21-B, TOA BAJA, PR 00949-0000
(787) 787-0520
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2242
PR
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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