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Organization

UNIVERSITY OF PUERTO RICO MSC

Active
Other names
PEDIATRIC UNIVERSITY HOSP DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOEL J AYMAT DMD (PROGRAM DIRECTOR)
(787) 758-2525
Entity
Organization

Contact information

Practice address
PEDIATRIC DENTISTRY CLINICS, CENTRO MEDICO, SAN JUAN, PR 00935-0001
(787) 758-2525
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 758-7871

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0000
PR

Other

Enumeration date
01/22/2007
Last updated
08/22/2020
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