Organization
CENTRO MEDICO DENTAL DEL NORESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SANTIAGO DMD, MDS (PRESIDENT)
(787) 525-3946
Entity
Organization
Contact information
Practice address
CARR.3, KM 19.6, CANOVANAS, PR 00729
(787) 792-2850
(787) 749-0406
Mailing address
1311 AMERICO MIRANDA AVE, SAN JUAN, PR 00921-2118
(787) 792-2850
(787) 749-0406
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1520
PR
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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