Organization
CLINICA DENTAL BRAVO II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISABEL LIRANZA DMD (DENTIST)
(787) 756-8427
Entity
Organization
Contact information
Practice address
1057 CALLE WILLIAM JONES, SAN JUAN, PR 00925-3832
(787) 756-8427
Mailing address
PO BOX 20651, SAN JUAN, PR 00928-0651
(787) 756-8427
(787) 756-8427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
2054
PR
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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