Organization
ENDODONCIA Y ESTETICA DENTAL C.S.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JUAN FERRARI D.D.S., M.S.D. (PRESIDENT)
(787) 399-8875
Entity
Organization
Contact information
Practice address
AVE. MUNOZ RIVERA ESQ. VICTORIA, AGUADILLA, PR 00603
(787) 431-6762
Mailing address
PO BOX 988, AGUADILLA, PR 00605-0988
(787) 399-8875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2889
PR
1223E0200X
Endodontics
Primary
2888
PR
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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