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Organization

LICDENTALANDMEDICALCSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS ITURRINO (PRESIDENT)
(787) 256-3115
Entity
Organization

Contact information

Practice address
PALMER/HERNAIZ AVE ST #74, STE 2, CANOVANAS, PR 00729-1617
(787) 256-3115
Mailing address
PO BOX 1617, CANOVANAS, CANOVANAS, PR 00729-1617
(787) 256-3115

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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