Organization
SMILE DESIGN ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA GONZALEZ DMD (PRESIDENT)
(787) 691-0781
Entity
Organization
Contact information
Practice address
AVE 65 INFANTERIA, CENTRO COMERCIAL LOS FLAMBOYANES STE 12, SAN JUAN, PR 00923
(787) 758-1560
Mailing address
576 ARTERIAL B AVENUE, COLISEUM TOWER #2203, SAN JUAN, PR 00918
(787) 691-0781
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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