Licdentalandmedicalcsp
NPI #1164706297 in Canovanas, Puerto Rico
Provider Information
- NPI Number
- 1164706297
- Entity Type
- Organization
- Organization Name
- Licdentalandmedicalcsp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 7, 2011
- Last Updated
- Oct 7, 2011
Practice Location
- Address
- PALMER/HERNAIZ AVE ST #74
- Address 2
- STE 2
- City
- Canovanas
- State
- Puerto Rico
- ZIP Code
- 00729-1617
- Phone
- (787) 256-3115
Authorized Official
- Name
- DR. LUIS ITURRINO
- Title
- PRESIDENT
- Phone
- (787) 256-3115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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