Organization
ROOTCANALS TO GO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA DE JESUS DS (PRESIDENT)
(787) 530-7094
Entity
Organization
Contact information
Practice address
VILLA CAPRI, 585 CALLE LODI, SAN JUAN, PR 00924
(787) 530-7094
Mailing address
VILLA CAPRI, 585 CALLE LODI, SAN JUAN, PR 00924
(787) 530-7094
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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