Trujillo Dental Clinic Psc
NPI #1104139914 in Trujillo Alto, Puerto Rico
Provider Information
- NPI Number
- 1104139914
- Entity Type
- Organization
- Organization Name
- Trujillo Dental Clinic Psc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 21, 2010
- Last Updated
- Feb 21, 2012
Practice Location
- Address
- 206 CALLE DR FERNANDEZ
- Address 2
- 206 DR FERNANDEZ
- City
- Trujillo Alto
- State
- Puerto Rico
- ZIP Code
- 00976-5939
- Phone
- (787) 755-3045
Authorized Official
- Name
- DR. JORGE VELAZQUEZ RAMON, DMD
- Title
- PRESIDENT
- Phone
- (787) 755-3045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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