Organization
LC ILLUSION DENTAL CLINIC AND LABORATORY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE CANET CANET (PR4ESIDENT)
(787) 747-6574
Entity
Organization
Contact information
Practice address
CARR. 798 KM 30.0, BARRIO RIO CANAS, CAGUAS, PR, PR 00725-9518
(787) 396-8371
Mailing address
HC 6 BOX 76055, CAGUAS, PR 00725-9504
(787) 747-6574
(787) 747-6574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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