Renova Dental Family Clinic
Dentist in Vega Alta, PR. Organization (NPI-2).
NPI number1295541332
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1295541332
- Entity type
- Organization (NPI-2)
- Legal business name
- Renova Dental Family Clinic
- Organization subpart
- No
- Enumeration date
- Dec 4, 2024
- Certification date
- Nov 30, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
Parcela 283 Carr. 693Vega Alta, PR 00692
Phone 787-867-5900
Mailing address
Parcela 283 Carr. 693Vega Alta, PR 00692
Authorized official
Krystal Sanchez Garcia
President
7878675900
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