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Individual

DR. JENNIFER LASTRA CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2E19 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6245
(787) 692-8229
Mailing address
HC 10 BOX 49039, CAGUAS, PR 00725-9654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003472
PR

Other

Enumeration date
05/18/2022
Last updated
05/23/2025
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