Organization
VR SMILE DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO VAN RHYN (PRESIDENT)
(787) 652-5550
Entity
Organization
Contact information
Practice address
OFFICE PARK III, SUITE 205 ROAD #2, MAYAGUEZ, PR 00680
(787) 652-5550
(787) 652-5550
Mailing address
400 CALLE CALAF, SUITE 361, SAN JUAN, PR 00918-1314
(787) 652-5550
(787) 652-5550
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2858
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154639524
NPI
PR
Enumeration date
03/29/2011
Last updated
03/29/2011
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