Organization
THIRD MOLAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL E RAMIREZ DIAZ D.M.D. (OWNER)
(787) 786-8540
Entity
Organization
Contact information
Practice address
I47 CALLE I, EXTENSION HERMANAS DAVILA, BAYAMON, PR 00959-5266
(787) 786-8540
(787) 995-0431
Mailing address
429 CALLE REY LUIS, LA VILLA DE TORRIMAR, GUAYNABO, PR 00969-3170
(787) 786-8540
(787) 995-0431
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1997
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467450809
—
PR
Enumeration date
12/11/2013
Last updated
12/11/2013
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