West Side LLC
NPI #1184363459 in Aguadilla, Puerto Rico
Provider Information
- NPI Number
- 1184363459
- Entity Type
- Organization
- Organization Name
- West Side LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 3, 2022
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- CARR 459 KM 1.8 INT
- City
- Aguadilla
- State
- Puerto Rico
- ZIP Code
- 00603
- Phone
- (787) 718-2284
Authorized Official
- Name
- MR. ABIMELEC PORTALATIN PEREZ
- Title
- OWNER
- Phone
- (787) 718-2284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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