Organization
INSTITUTO DENTAL DEL SUR.C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID M ROSSO-TRIDAS D.M.D. (OWNER)
(787) 837-2314
Entity
Organization
Contact information
Practice address
54 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1608
(787) 837-2314
Mailing address
54 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1608
(787) 837-2314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1646
PR
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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