Organization
SONRISAS DENTAL CARE PSC
Active
Other names
SONRISAS DENTAL CARE PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A VELAZQUEZ DMD (PRESIDENT)
(787) 784-1035
Entity
Organization
Contact information
Practice address
A 2010 AZALEA ST, LEVITTOWN, TOA BAJA, PR 00949
(787) 784-1035
(787) 784-0120
Mailing address
CALLE AZALEA A 2010, LEVITTOWN, TOA BAJA, PR 00949
(787) 784-1035
(787) 784-0120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0450
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114006079
GENERAL DENTIST
PR
Enumeration date
04/01/2009
Last updated
04/01/2009
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