Organization
BOARD CERTIFIED ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON RUIZ-FEBO DMD (MANAGING MEMBER)
(787) 460-0283
Entity
Organization
Contact information
Practice address
URB. VILLA DEL ROSARIO, CALLE 2, A3, NAGUABO, PR 00718
(787) 460-0283
Mailing address
URB EL MIRADOR DE CUPEY, A6 CALLE 2, SAN JUAN, PR 00926-7545
(787) 460-0283
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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