Organization
ORTHODONTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DIAZ (ADMINISTRATOR)
(787) 905-7300
Entity
Organization
Contact information
Practice address
CARR. 189 KM 3.1 BO. RINCON, GURABO, PR 00778
(787) 905-7300
(787) 905-7301
Mailing address
HC 2 BOX 16216, GURABO, PR 00778-9620
(787) 905-7300
(787) 905-7301
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2100
PR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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