Organization
ABC PEDIATRIC DENTAL CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS R. PAGAN DMD (PRESIDENT)
(787) 727-3838
Entity
Organization
Contact information
Practice address
253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
(787) 727-3838
(787) 727-3821
Mailing address
253 CALLE SAN JORGE, SUITE I-A SAN JORGE II BUILDING, SAN JUAN, PR 00912-3307
(787) 727-3838
(787) 727-3821
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2424
PR
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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