Ar Dental Clinic LLC
Dentist, General Practice in Juncos, PR. Organization (NPI-2).
NPI number1043855463
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1043855463
- Entity type
- Organization (NPI-2)
- Legal business name
- Ar Dental Clinic LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2019
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | |
| 126800000X | Dental Assistant | – | – | |
| 122300000X | Dentist | – | – | |
| 1223P0300X | Dentist, Periodontics | – | – | |
| 1223P0700X | Dentist, Prosthodontics | – | – |
Practice location
#17 Calle Daniel FloresJuncos, PR 00777-3410
Phone 787-734-0330
Mailing address
Po Box 2473Juncos, PR 00777-2473
Phone 787-734-0330
Authorized official
Ada Rivera
President
7877340330
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