Clinica Dental | |
420 Ave. Ponce De Leon Cond. Midtown Suite 602 Hato Rey PR 00919 | |
(787) 282-5400 | |
Not Available |
Full Name | Clinica Dental |
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Speciality | Dentist - General Practice |
Location | 420 Ave. Ponce De Leon, Hato Rey, Puerto Rico |
Authorized Official Name and Position | Lunilda A Reynoso (OFFICE OWNER) |
Authorized Official Contact | 7872825400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinica Dental 420 Ave. Ponce De Leon Cond. Midtown Suite 602 Hato Rey PR 00919 Ph: (787) 282-5400 | Clinica Dental 420 Ave. Ponce De Leon Cond. Midtown Suite 602 Hato Rey PR 00919 Ph: (787) 282-5400 |
NPI Number | 1760731368 |
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Provider Enumeration Date | 08/29/2012 |
Last Update Date | 08/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760731368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2155 (Wisconsin) | Primary |
1223G0001X | Dentist - General Practice | 1955 (Wisconsin) | Secondary |
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