Organization
LEVITTOWN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANGEL RODRIGUEZ (PROPIETARIO)
(787) 565-8049
Entity
Organization
Contact information
Practice address
CALLE 11 A-7 URB.SAN SOUCI, BAYAMON, PR 00957
(787) 565-8049
Mailing address
CALLE 11 A-7 URB.SAN SOUCI, BAYAMON, PR 00957
(787) 565-8049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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