Organization
DENTAL LAB PR CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENDRE CSABAI (PRESIDENT)
(787) 798-6100
Entity
Organization
Contact information
Practice address
1 VILLEGAS APT 6401, PORTICOS DE GUAYNABO, GUAYNABO, PR 00971
(787) 366-4450
Mailing address
PORTICO DE GUAYNABO, 6401, GUAYNABO, PR 00971-9201
(787) 366-4450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2312
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578654158
DENTIST
PR
Enumeration date
12/02/2015
Last updated
12/02/2015
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