Organization
MAGIC-DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN KARINA PENA (PRESIDENT)
(787) 579-4919
Entity
Organization
Contact information
Practice address
823 AVE SAN PATRICIO, LAS LOMAS, SAN JUAN, PR 00921-1311
(787) 781-8058
(787) 781-8058
Mailing address
35 JUAN CARLOS DE BORBON, SUITE 67 PMB 328, GUAYNABO, PR 00969-5375
(787) 579-4919
(787) 782-0233
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PR
Other
Enumeration date
08/20/2013
Last updated
09/05/2013
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