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Organization

SAN JUAN DENTAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSA MARIA RODRIGUEZ DMD (DOCTOR)
(787) 645-0089
Entity
Organization

Contact information

Practice address
456 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2628
(787) 645-0089
Mailing address
456 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2628
(787) 645-0089

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
582837989
PR
Enumeration date
09/20/2018
Last updated
09/20/2018
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