Organization
CAROLINA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS HIRAM MARTINEZ DMD (PRESIDENT)
(787) 237-1093
Entity
Organization
Contact information
Practice address
AVE FERNANDEZ JUNCOS ESQ MOLINILLO, CAROLINA, PR 00988-0098
(787) 237-1093
Mailing address
735 PONCE DE LEON AVE, TORRE DE AUXILIO MUTO SUITE 510, SAN JUAN, PR 00917
(787) 753-5055
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1586
PR
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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