Organization
INNOVARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA DENISSE GONZALEZ FUENTES DMD (DENTIST)
(787) 690-2460
Entity
Organization
Contact information
Practice address
EDIF TROPICAL PLAZA SUITE 3, CARR 2 MARGINAL 272, HATILLO, PR 00659
(787) 690-2460
Mailing address
EDIF TROPICAL PLAZA SUITE 3, CARR 2 MARGINAL 272, HATILLO, PR 00659
(787) 690-2460
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/09/2020
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