Organization
SAN JUAN PEDIATRIC DENTAL HOME PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL JOAQUIN AYMAT DMD (PRESIDENT AND PEDIATRIC DENTIST)
(787) 765-2679
Entity
Organization
Contact information
Practice address
282 AVE PINERO STE 211, PLAZA EL AMAL, SAN JUAN, PR 00927-3918
(787) 765-2679
(787) 753-3934
Mailing address
282 AVE PINERO STE 211, PLAZA EL AMAL, SAN JUAN, PR 00927-3918
(787) 765-2679
(787) 753-3934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1980
PR
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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