| Dental Spa P.s.c. | |
|
250 Calle Del Parque Suite 1a San Juan PR 00912-3200 | |
| (787) 725-4848 | |
| Not Available |
| Full Name | Dental Spa P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 250 Calle Del Parque, San Juan, Puerto Rico |
| Authorized Official Name and Position | Angel L Davila Pabon (OWNER) |
| Authorized Official Contact | 7877254848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Spa P.s.c. 1479 Ave Ashford Cond. Condado Del Mar Apt # 410 San Juan PR 00907-1583 Ph: (787) 725-4848 | Dental Spa P.s.c. 250 Calle Del Parque Suite 1a San Juan PR 00912-3200 Ph: (787) 725-4848 |
| NPI Number | 1801156013 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801156013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2729 (Puerto Rico) | Primary |
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