Organization
DENTAL SERVICES ORGANIZATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA MORALES BS (ADMINISTRADORA)
(787) 622-3000
Entity
Organization
Contact information
Practice address
BOULEVARD PLAZA DE RIO RAMAL 3, AVE NICANOR, HUMACAO, PR 00741-0000
(787) 622-3000
(787) 620-5384
Mailing address
PO BOX 71114, SAN JUAN, PR 00936-0000
(787) 622-3000
(787) 620-5384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039465701
—
PR
Enumeration date
08/28/2023
Last updated
11/06/2025
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