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Organization
CLINICA DE SERVICIOS DE ORTODONCIA,CSP
Active
Organization
CLINICA DE SERVICIOS DE ORTODONCIA,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO ERNESTO VALENTIN DMD (PRESIDENT)
(787) 891-1338
Entity
Organization
Contact information
Practice address
171 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5723
(787) 891-1338
(787) 891-2266
Mailing address
PO BOX 39, AGUADILLA, PR 00605-0039
(787) 891-1338
(787) 891-2266
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1382
PR
Other
Enumeration date
11/20/2012
Last updated
12/03/2012
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