Organization
MEDBAR DENTAL SERVICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MANUEL MEDINA DDS (PRESIDENT)
(787) 263-4777
Entity
Organization
Contact information
Practice address
AVE ANTONIO R BARCELO, SIERRA DE CAYEY SUITE 202, CAYEY, PR 00736-3717
(787) 263-4777
(787) 738-0231
Mailing address
AVE ANTONIO R BARCELO, SIERRA DE CAYEY SUITE 202, CAYEY, PR 00736-3717
(787) 263-4777
(787) 738-0231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1938
PR
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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