Organization
MIO DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA P IRIZARRY (DMD)
(787) 384-2505
Entity
Organization
Contact information
Practice address
38 CALLE AMISTAD, LAJAS, PR 00667-2060
(787) 384-2505
Mailing address
5 ERLICH CT, LAJAS, PR 00667-2614
(787) 384-2505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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