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Organization

A&O DENTAL P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERNESTO ROSA (PRESIDENT)
(787) 396-5508
Entity
Organization

Contact information

Practice address
CARRETERA 31, KM 4.0, NAGUABO MEDICAL MALL, NAGUABO, PR 00718
(787) 396-5508
Mailing address
563 CALLE ECHEGARAY, LITHEDA HEIGHTS, SAN JUAN, PR 00926-4416

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2471
PR
122300000X
Dentist
Primary
2793
PR

Other

Enumeration date
11/20/2015
Last updated
11/20/2015
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