Organization
DORADO FAMILY DENTAL CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUPITA FERNANDEZ DMD (PRESIDENT)
(787) 372-4309
Entity
Organization
Contact information
Practice address
410 CALLE MENDEZ VIGO, SUITE 102, DORADO, PR 00646-4800
(787) 626-0755
(787) 626-0758
Mailing address
410 CALLE MENDEZ VIGO, SUITE 102, DORADO, PR 00646-4800
(787) 626-0755
(787) 626-0758
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1854
PR
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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