Western Dental Clinic
Clinic/Center, Dental in Mayaguez, PR. Organization (NPI-2).
NPI number1669923199
StatusActive
Last updated in NPPESOct 19, 2016
Details
- NPI
- 1669923199
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Dental Clinic
- Organization subpart
- No
- Enumeration date
- Oct 19, 2016
- Last updated
- Oct 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2650 | PR | Yes |
Practice location
27 Calle Dr Nelson PeresEdificio Doctors Center Suite 201
Mayaguez, PR 00680
Phone 787-832-7455 · Fax 787-832-7455
Mailing address
27 Calle Dr Nelson PereaEdificio Doctor Center Suite 201
Mayaguez, PR 00680-4949
Phone 787-832-7455
Authorized official
Marvin Alameda Ramirez
Doctor
7878327455
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All 9 Dental Clinic/Center providers in Mayaguez · All 2,108 providers in Mayaguez
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