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Organization

BURGOS DENTAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE BURGOS DIAZ (PRESIDENT)
(609) 246-8000
Entity
Organization

Contact information

Practice address
PR-172 INT. PR-1, PLAZA DEL CARMEN MALL, SUITE 22, SAN JUAN, PR 00922
(787) 745-6220
Mailing address
PO BOX 10818, SAN JUAN, PR 00922-0818

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary

Other

Enumeration date
02/25/2025
Last updated
02/25/2025
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