Organization
INFINITY DENTAL CARE PSG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YALICE MARIELY CARDONA DMD (DENTIST)
(787) 552-2631
Entity
Organization
Contact information
Practice address
CARR #2, KM 96.8, BO COCOS, QUEBRADILLA, PR 00678
(787) 552-2631
Mailing address
38 CALLE GEORGETTI, APT 10, MANATI, PR 00674-5293
(787) 552-2631
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2802
PR
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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