Organization
CENTRO DENAL PEDIATRICO SMILES 'R' US CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ROSARIO (PRESIDENT)
(787) 887-7693
Entity
Organization
Contact information
Practice address
CALLE PIMENTEL #45, 2ND FLOOR, RIO GRANDE, PR 00745
(787) 887-7693
(787) 887-8626
Mailing address
PO BOX 2296, RIO GRANDE, PR 00745
(787) 887-7693
(787) 887-8626
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1443
PR
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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