Organization
CENTRO GRUPO DENTAL DSPDI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN L MOLINA (DIRECTOR)
(787) 765-2929
Entity
Organization
Contact information
Practice address
100 AVE. LAUREL, HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU, BAYAMON, PR 00956
(787) 765-2929
Mailing address
PO BOX 70184, SAN JUAN, PR 00936-8184
(787) 765-2929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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