Organization
BURGOS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAMAR BURGOS LOPEZ (PRESIDENT)
(787) 202-5881
Entity
Organization
Contact information
Practice address
36 ABRAHAM PENA & CARRION MADURO STS., SALINAS, PR 00751
(787) 866-5227
Mailing address
PO BOX 776, SALINAS, PR 00751-0776
(787) 866-5227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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