Organization
TOA ALTA DENTAL GROUP CORPORATE
Active
Other names
TOA ALTA DENTAL GROUP P.S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN MARCOS VELAZQUEZ RAMIREZ DENTAL ADMINISTRATIO (ADMINISTRATOR)
(787) 870-1425
Entity
Organization
Contact information
Practice address
15 CALLE MUNOZ RIVERA (ALTOS), CALLE MUNOZ RIVERA 15, TOA ALTA, PR 00953
(787) 870-1425
(787) 870-5934
Mailing address
PO BOX 1295, PO BOX 1295, TOA ALTA, PR 00954-1295
(787) 870-1425
(787) 870-5934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5514
PR
Other
Enumeration date
03/14/2007
Last updated
09/22/2009
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