Organization
DC DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL ANGEL DIAZ CANCEL DMD (DMD)
(787) 510-4519
Entity
Organization
Contact information
Practice address
61 CALLE DOMINGO CACERES W, CAROLINA, PR 00985-6010
(787) 769-6880
Mailing address
PO BOX 840, CAROLINA, PR 00986-0840
(787) 769-6880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038819600
—
PR
Enumeration date
09/05/2019
Last updated
04/19/2022
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