Organization
BASIC DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA MELO D.D.S (DENTIST)
(787) 637-0084
Entity
Organization
Contact information
Practice address
AVE MUNOZ RIVERA 402, HATO REY, PR 00918
(787) 751-6784
Mailing address
AVE MUNOZ RIVERA 402, HATO REY, PR 00918
(787) 751-6784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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