Organization
SERVICIOS ESPECIALIZADOS DE ORTODONCIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR L ACEVEDO DMD ,MS (PRESIDENT)
17877581560
Entity
Organization
Contact information
Practice address
OFFICE 12 65 INFANTERIA RIO PIEDRAS, CENT COM LOS FLAMBOYANES, SAN JUAN, PR 00924-3314
(178) 775-8156
(178) 775-8151
Mailing address
OFFICE 12 65 INFANTERIA, CENT COM LOS FLAMBOYANES, SAN JUAN, PR 00924-3314
(178) 775-8156
(178) 775-8151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
864
PR
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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