Ajl Dental | |
607 Calle Dr Loyola Penuelas PR 00624 | |
(787) 464-4142 | |
Not Available |
Full Name | Ajl Dental |
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Speciality | Clinic/center - Dental |
Location | 607 Calle Dr Loyola, Penuelas, Puerto Rico |
Authorized Official Name and Position | Kathy Brayfield (PRESIDENT) |
Authorized Official Contact | 7878362424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ajl Dental 22 Calle 25 De Julio Guanica PR 00653-2110 Ph: (787) 464-7980 | Ajl Dental 607 Calle Dr Loyola Penuelas PR 00624 Ph: (787) 464-4142 |
NPI Number | 1104213099 |
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Provider Enumeration Date | 04/20/2015 |
Last Update Date | 05/21/2018 |
Identifier | Type | State | Issuer |
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1104213099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1585 (Puerto Rico) | Primary |
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