Individual
DR. JOSE ANTONIO CINTRON SOSTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1105 N. LAFAYETTE DR, SUITE C, SUMTER, SC 29150-2984
(803) 774-3600
(803) 774-4560
Mailing address
1105 N. LAFAYETTE DR, SUITE C, SUMTER, SC 29150-2984
(803) 774-3600
(803) 774-4560
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
0401415038
VA
1223G0001X
General Practice Dentistry
2416
PR
1223G0001X
General Practice Dentistry
Primary
9725
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX9725
—
SC
Enumeration date
08/17/2005
Last updated
09/21/2022
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