Organization
J&ADENTALPSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AROCHO MEDINA MARTA (SECRETARIA)
(787) 830-2060
Entity
Organization
Contact information
Practice address
2981 AVE MILITAR STE 1, ISABELA, PR 00662-4075
(787) 830-2060
(787) 830-2253
Mailing address
PO BOX 604, SAN ANTONIO, PR 00690-0604
(787) 830-2060
(787) 830-2253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
01/26/2011
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