Organization
ASHFORD DENTAL PSC
Active
Other names
Ashford Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR R CRUZ DMD, MMSC (PROSTHODONTIST)
(787) 998-7778
Entity
Organization
Contact information
Practice address
1018 AVE ASHFORD, COND. CONDADO ASTOR SUITE 201, SAN JUAN, PR 00907-1100
(787) 998-7778
(787) 998-7487
Mailing address
1018 ASHFORD AVENUE, COND. CONDADO ASTOR SUITE 201, SAN JUAN, PR 00907
(787) 998-7778
(787) 998-7487
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
3155
PR
1223P0700X
Prosthodontics
Primary
3153
PR
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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