Champion Dental Pc | |
Carretera 693 Km 13.7 Plaza Del Mar Sopping C Suite 201b Vega Alta PR 00646 | |
(787) 369-7600 | |
Not Available |
Full Name | Champion Dental Pc |
---|---|
Speciality | Dentist |
Location | Carretera 693 Km 13.7, Vega Alta, Puerto Rico |
Authorized Official Name and Position | Derrick Champion (DENTIST/OWNER) |
Authorized Official Contact | 7873697600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Champion Dental Pc 207 Calle Metis Dorado PR 00646-4618 Ph: (787) 369-7600 | Champion Dental Pc Carretera 693 Km 13.7 Plaza Del Mar Sopping C Suite 201b Vega Alta PR 00646 Ph: (787) 369-7600 |
NPI Number | 1366809725 |
---|---|
Provider Enumeration Date | 01/15/2016 |
Last Update Date | 01/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366809725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3179 (Puerto Rico) | Primary |
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