| Advance Dental Clinic Professional Corporation | |
|
52 Calle Dolores Cabrera Alonso E Humacao PR 00791-4269 | |
| (787) 850-1085 | |
| Not Available |
| Full Name | Advance Dental Clinic Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 52 Calle Dolores Cabrera Alonso E, Humacao, Puerto Rico |
| Authorized Official Name and Position | Ernesto Javier Rosa (PRESIDENT) |
| Authorized Official Contact | 7878501085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Dental Clinic Professional Corporation 563 Calle Echegaray Litheda Heights San Juan PR 00926-4416 Ph: () - | Advance Dental Clinic Professional Corporation 52 Calle Dolores Cabrera Alonso E Humacao PR 00791-4269 Ph: (787) 850-1085 |
| NPI Number | 1356517437 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356517437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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