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Organization

CENTRO FAMILIAR DE SERVICIOS DENTALES, CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCIANO E. AVILES ROIG D.M.D. (DENTISTA)
(787) 896-1265
Entity
Organization

Contact information

Practice address
4100 AVE ARCADIO ESTRADA, SUITE 110 SAN SEBASTIAN OFFICE BUILDING, SAN SEBASTIAN, PR 00685-3216
(787) 896-1265
(787) 280-0171
Mailing address
PO BOX 201, SAN SEBASTIAN, PR 00685-0201
(787) 896-1265
(787) 280-0171

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/04/2009
Last updated
12/04/2009
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