Organization
HEALTH DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUANCARLOS J ROSARIO (VICE PRESIDENT)
(787) 601-7626
Entity
Organization
Contact information
Practice address
77 CALLE CENTRAL, COTO LAUREL, PR 00780-2109
(787) 601-7626
Mailing address
PO BOX 922, JUANA DIAZ, PR 00795-0922
(787) 601-7626
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1840
PR
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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