Organization
LECM ORTHO GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EDGARDO CALDERO DMD (PRESIDENT)
(787) 891-1338
Entity
Organization
Contact information
Practice address
171 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5723
(787) 891-1338
(787) 891-2266
Mailing address
PO BOX 39, AGUADILLA, PR 00605-0039
(787) 891-1338
(787) 891-2266
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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