Organization
OFICINA DENTAL LOS DOMINICOS, PSC
Active
Other names
OFICINA DENTAL LOS DOMINICOS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDMARIE DE JESUS MRS (ADMINISTRATIVE)
(787) 784-0520
Entity
Organization
Contact information
Practice address
AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER, LOCAL 21 B , LEVITTOWN, TOA BAJA, PR 00949-0000
(787) 784-0520
Mailing address
AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER, LOCAL 21-B, TOA BAJA, PR 00949-0000
(787) 787-0520
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2242
PR
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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