Individual
SUANE ANN CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
725 WEST MAIN PLAZA DEL SOL, LOCAL 1100A, BAYAMON, PR 00961
(787) 780-4300
Mailing address
PLAZA DEL SOL MALL SUITE 40, SUITE 40 LOCAL 1100A, BAYAMON, PR 00961
(787) 780-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3299
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3299
JDE
PR
Enumeration date
02/18/2019
Last updated
02/18/2019
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