Organization
EA DENTAL, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGARDO ALBERTO ESTREMERA DMD (PRESIDENTE)
(787) 262-5757
Entity
Organization
Contact information
Practice address
CARR 129 KM 8.8 CAMPO ALEGRE, #2, HATILLO, PR 00659-9819
(787) 262-5757
(787) 262-5757
Mailing address
HC 5 BOX 92970, ARECIBO, PR 00612-9559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2691
PR
Other
Enumeration date
04/27/2012
Last updated
05/07/2012
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