Organization
GRUPO DENTAL DR. JOSE S BELAVAL
Active
Parent organization
CDT DR. JOSE S BELAVAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDT DR. JOSE S BELAVAL
Authorized official
MARITZA VEGA DE JESUS MBH HCM (EXECUTIVE SUB DIRECTOR)
(787) 480-3841
Entity
Organization
Contact information
Practice address
AVE BORINQUEN ESQ. CALLE NIN BO. OBRERO, SAN JUAN, PR 00915
(787) 480-3841
(787) 977-0544
Mailing address
AVE BORINQUEN ESQ. CALLE NIN BO. OBRERO, SAN JUAN, PR 00915
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4
PR
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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