Organization
OPTIMUM DENTAL CLINIC
Active
Other names
no
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA D DONATO D.M.D (PRESIDENT)
17878802500
Entity
Organization
Contact information
Practice address
CARRETERA #653 KM 1.3, BO. CORCOVADA, HATILLO, PR 00659-0000
(178) 788-0250
(178) 781-6250
Mailing address
PO BOX 140082, ARECIBO, PR 00614-0082
(178) 788-0250
(178) 781-6250
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
PR
Other
Enumeration date
04/17/2008
Last updated
09/06/2023
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