Organization
PENUELAS DENTAL TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN TORRES D.M.D. (PRESIDENT)
(939) 630-4102
Entity
Organization
Contact information
Practice address
628 PEDRO VELAZQUEZ, EDIFICIO AURORA 3B, PENUELAS, PR 00624
(787) 836-3333
(787) 836-1729
Mailing address
PO BOX 801207, COTO LAUREL, PONCE, PR 00780-1207
(787) 836-3333
(787) 836-1729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2851
PR
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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