Organization
DENTISTAS MISIONEROS DE PR (DMDPR)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAM ORTIZ DMD (PRESIDENT)
(787) 852-8255
Entity
Organization
Contact information
Practice address
CALLE WILLIAM FONT FINAL, CLINICA DENTAL CDT CULEBRA, CULEBRA, PR 00775
(787) 742-0001
(787) 742-0176
Mailing address
58 CALLE MANUEL CRUZ, HUMACAO, PR 00791-3627
(787) 852-1579
(787) 852-8255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2452
PR
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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