Organization
CLINICA DENTAL CANTON MALL
Active
Other names
Clinica Dental Canton Mall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO AGUIRRE D.M.D. (CHIEF OF STAFF)
(787) 785-3170
Entity
Organization
Contact information
Practice address
RIO HONDO, PMB SUITE 452, BAYAMON, PR 00961-3106
(787) 785-3170
(787) 785-3170
Mailing address
RIO HONDO AVE, PMB SUITE 452, BAYAMON, PR 00961-3110
(787) 785-3170
(787) 785-3170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0982
PR
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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