Organization
SAN JUAN SMILE SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA LLADO ORTEGA DMD (PRESIDENT)
(787) 767-7471
Entity
Organization
Contact information
Practice address
374 CALLE RAFAEL LAMAR, SAN JUAN, PR 00918-2117
(787) 767-7471
Mailing address
374 CALLE RAFAEL LAMAR, SAN JUAN, PR 00918-2117
(787) 767-7471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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