Organization
CENTRO DENTAL ALTOMAR P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL ANTONIO FONTANE D.M.D. (PRESIDENT)
(787) 720-9007
Entity
Organization
Contact information
Practice address
1781 AVE PAZ GRANELA, SANTIAGO IGLESIAS, SAN JUAN, PR 00921-3626
(787) 720-9007
(787) 720-9008
Mailing address
1353 CARR. 19, PMB 226, GUAYNABO, PR 00966-2700
(787) 720-9007
(787) 720-9008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2312
PR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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