Organization
INTEGRATED DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS MARRERO GRATACOS DMD (PRESIDENT)
(787) 812-1010
Entity
Organization
Contact information
Practice address
20253 PONCE BY PASS, CENTRO CARIBE SUITE 1001, PONCE, PR 00717
(787) 812-1010
Mailing address
20253 PONCE BY PASS, CENTRO CARIBE SUITE 1001, PONCE, PR 00717
(787) 812-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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