Organization
CENTRO AVANZADO DE ODONTOLOGIA ESTETICA,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR RAFAEL ORTIZ DMD (PRESIDENT)
(787) 447-7078
Entity
Organization
Contact information
Practice address
165 CALLE BALDORIOTY N, AIBONITO, PR 00705-3234
(787) 735-1741
(787) 735-1741
Mailing address
PO BOX 1378, AIBONITO, PR 00705-1378
(787) 447-7078
(787) 735-1741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1813
PR
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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