Organization
DR MENDOZA & ASOCIADOS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C MENDOZA DMD (PRESIDENT)
(787) 636-8184
Entity
Organization
Contact information
Practice address
GARDENIA ST 14, COND COMODORO 1003, CAROLINA, PR 00979
(787) 739-8801
Mailing address
GARDENIA ST, COND COMODORO 1003, CAROLINA, PR 00979
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/10/2010
Last updated
12/16/2010
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