| Clinica Dental Plaza, Psc | |
|
Carolina Shopp Ctr Suite #30 Carolina PR 00985-5672 | |
| (787) 752-5700 | |
| (844) 507-0291 |
| Full Name | Clinica Dental Plaza, Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Carolina Shopp Ctr, Carolina, Puerto Rico |
| Authorized Official Name and Position | Fernando L Sosa Padro (PRESIDENT) |
| Authorized Official Contact | 7876458552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Plaza, Psc Po Box 8761 Carolina PR 00988-8761 Ph: (787) 752-5700 | Clinica Dental Plaza, Psc Carolina Shopp Ctr Suite #30 Carolina PR 00985-5672 Ph: (787) 752-5700 |
| NPI Number | 1649642117 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649642117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1333 (Puerto Rico) | Primary |
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