Organization
WESTERN DENTAL P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN GILBERTO SANCHEZ (PRESIDENT)
(787) 439-5728
Entity
Organization
Contact information
Practice address
256 CALLE LA PAZ, AGUADA, PR 00602-2939
(787) 868-3190
Mailing address
HC 5 BOX 15552, MOCA, PR 00676-9649
(787) 439-5728
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3201
PR
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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