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Individual

DR. RENE A DIETRICH TRIGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
576 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-3756
(787) 282-0709
(800) 878-2948
Mailing address
35 JUAN D BORBON 67, PMB 144, GUAYNABO, PR 00969
(787) 282-0709
(800) 878-2958

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2179
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42129
TRIPLE S INC
PR
Enumeration date
11/18/2005
Last updated
07/08/2007
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