Organization
CLINICA DENTAL MIRMAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRELIS NYVETTE COLON D.M.D. (PRESIDENT)
(787) 247-5851
Entity
Organization
Contact information
Practice address
120 CALLE GEORGETTI, NARANJITO, PR 00719-3011
(787) 869-2565
(787) 869-2471
Mailing address
PO BOX 165, NARANJITO, PR 00719-0165
(787) 869-2565
(787) 869-2471
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2675
PR
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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