Organization
SONRISAS RADIANTES DENTAL CLINIC(CSP)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGALY MARRERO (OFFICE MANAGER)
(787) 883-6446
Entity
Organization
Contact information
Practice address
CENTRO GRAN CARIBE SUITE 209, VEGA ALTA, PR 00692-6711
(787) 883-6446
(787) 883-6058
Mailing address
CENTRO GRAN CARIBE SUITE 214, VEGA ALTA, PR 00692-6711
(787) 883-6446
(787) 883-6058
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/23/2008
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