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Organization

C L A DENTAL GROUP

Active
Other names
Advanced Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS H. MARTINEZ DDS (PRESIDENT)
(787) 753-5055
Entity
Organization

Contact information

Practice address
735 AVE PONCE DE LEON STE 504, SAN JUAN, PR 00917-5026
(787) 753-5055
Mailing address
735 AVE PONCE DE LEON STE 504, SAN JUAN, PR 00917-5026
(787) 753-5055

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1318
PR
1223G0001X
General Practice Dentistry
1586
PR
1223G0001X
General Practice Dentistry
Primary
1804
PR
1223G0001X
General Practice Dentistry
2101
PR
1223G0001X
General Practice Dentistry
2716
PR
1223G0001X
General Practice Dentistry
2772
PR
1223P0221X
Pediatric Dentistry
2239
PR
1223P0300X
Periodontics
0626
PR
1223P0300X
Periodontics
2444
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0266
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1787
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2454
PR

Other

Enumeration date
04/04/2007
Last updated
09/11/2025
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