Organization
GRUPO DENTAL CDT DR. LOPEZ ANTONGIORGI
Active
Parent organization
CDT DR. LOPEZ ANTONGIORGI
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDT DR. LOPEZ ANTONGIORGI
Authorized official
MARITZA VEGA DE JESUS MBH HCM (EXECUTIVE SUB DIRECTOR)
(787) 480-3841
Entity
Organization
Contact information
Practice address
CALLE 25 NE 333 PUERTO NUEVO, SAN JUAN, PR 00920
(787) 480-3841
(787) 977-0544
Mailing address
CALLE 25 NE 333 PUERTO NUEVO, SAN JUAN, PR 00920
(787) 480-3841
(787) 977-0544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6
PR
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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