Organization
ALL DENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SANTIAGO 1520 (PRESIDENT)
(787) 725-3440
Entity
Organization
Contact information
Practice address
600 FERNANDEZ JUNCOS AVE, COND GOLDEN TRIANGLE REALTY, SAN JUAN, PR 00907
(787) 725-3440
(787) 724-4513
Mailing address
600 FERNANDEZ JUNCOS AVE, COND GOLDEN TRIANGLE REALTY, SAN JUAN, PR 00907
(787) 725-3440
(787) 724-4513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1520
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1520
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1520
DENTIST LICENSE OF PR
PR
Enumeration date
02/05/2013
Last updated
02/05/2013
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