Dento-ped, Csp | |
Hc 1 Box 25708 San German PR 00683-9806 | |
(787) 892-0585 | |
(787) 892-0585 |
Full Name | Dento-ped, Csp |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | Hc 1 Box 25708, San German, Puerto Rico |
Authorized Official Name and Position | Selma Basora (PRESIDENT/SECRETARY) |
Authorized Official Contact | 7878920585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dento-ped, Csp Hc 1 Box 25708 San German PR 00683-9806 Ph: (787) 892-0585 | Dento-ped, Csp Hc 1 Box 25708 San German PR 00683-9806 Ph: (787) 892-0585 |
NPI Number | 1740258557 |
---|---|
Provider Enumeration Date | 03/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740258557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 2510 (Puerto Rico) | Primary |
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Ramos Prosthodontic Services L L C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Edificio San Vicente Paul, Suite 306, San German, PR 00683 Phone: 787-659-7149 Fax: 787-832-7455 | |
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