Organization
DENTAL SPA P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL L DAVILA PABON D.M.D (OWNER)
(787) 725-4848
Entity
Organization
Contact information
Practice address
250 CALLE DEL PARQUE, SUITE 1A, SAN JUAN, PR 00912-3200
(787) 725-4848
Mailing address
1479 AVE ASHFORD, COND. CONDADO DEL MAR APT # 410, SAN JUAN, PR 00907-1583
(787) 725-4848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2729
PR
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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