Organization
CLINICA DENTAL PLAZA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO L SOSA PADRO D.M.D. (PRESIDENT)
(787) 645-8552
Entity
Organization
Contact information
Practice address
CAROLINA SHOPP CTR, SUITE #30, CAROLINA, PR 00985-5672
(787) 752-5700
(844) 507-0291
Mailing address
PO BOX 8761, CAROLINA, PR 00988-8761
(787) 752-5700
(844) 507-0291
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1333
PR
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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