Organization
BOULEVARD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSETTE MORALES DMD (DENTIST)
(787) 473-4154
Entity
Organization
Contact information
Practice address
BOULEVARD AVE. #3327 LEVITTOWN, TOA BAJA, PR 00949
(787) 784-5229
(787) 721-3639
Mailing address
BOULEVARD AVE. #3327 LEVITTOWN, TOA BAJA, PR 00949
(787) 784-5229
(787) 721-3639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2822
PR
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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