Clinica Dental Familiar Cidrena
Dentist, General Practice in Cidra, PR. Organization (NPI-2).
NPI number1609908086
StatusActive
Last updated in NPPESAug 27, 2020
Details
- NPI
- 1609908086
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinica Dental Familiar Cidrena
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Certification date
- Aug 27, 2020
- Last updated
- Aug 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2162 | PR | Yes |
Practice location
18 Jose De DiegoCidra, PR 00739-3381
Phone 787-739-8063
Mailing address
Po Box 1807Cidra, PR 00739-1807
Phone 787-739-8063
Authorized official
Mildred Benitez
President
7877398063
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