Organization
SRR DENTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJEIL RAMOS D.M.D. (PRESIDENT)
(787) 816-8674
Entity
Organization
Contact information
Practice address
CARR. 653 KM 2.2 SECTOR BARRANCA, ARECIBO, PR 00612
(787) 816-8674
Mailing address
RR#1 BOX 37546, SAN SEBASTIAN, PR 00685
(787) 816-8674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2849
PR
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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