Organization
SM DENTAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM E MELENDEZ (OWNER)
(787) 769-6880
Entity
Organization
Contact information
Practice address
CALLE IGNACIO ARZUAGA 5W, CAROLINA PUEBLO, CAROLINA, PR 00985
(787) 769-6880
(787) 776-0757
Mailing address
PO BOX 871, PUEBLO STATION, CAROLINA, PR 00986
(787) 769-6880
(787) 776-0757
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1333
PR
Other
Enumeration date
02/22/2008
Last updated
04/20/2008
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