Amanecer Dental Clinic And Lab
Dentist, General Practice in San Juan, PR. Organization (NPI-2).
NPI number1659698108
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1659698108
- Entity type
- Organization (NPI-2)
- Legal business name
- Amanecer Dental Clinic And Lab
- Organization subpart
- No
- Enumeration date
- Apr 23, 2010
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | PR | Yes |
| 126900000X | Dental Laboratory Technician | – | PR |
Practice location
Avenida De Diego 467 Rio PiedrasSan Juan, PR 00923
Phone 787-585-5569
Mailing address
Avenida De Diego 467 Rio PiedrasSan Juan, PR 00923
Phone 787-585-5569
Authorized official
Edwin Eric Suarez
Tecnico Dental
7875629277
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