West Coast Smiles Psc

NPI #1194059261 in Aguadilla, Puerto Rico

Provider Information

NPI Number: 1194059261
Entity Type: Organization
Organization Name: West Coast Smiles Psc
Primary Specialty: Dentist
Enumeration Date: Sep 23, 2009
Last Updated: Sep 23, 2009

Practice Location

Address: 107 RD. 2.8 KM. 2053 BUILDING
Address 2: SUITE #1
City: Aguadilla
State: Puerto Rico
ZIP Code: 00603
Phone: (787) 891-3430

Authorized Official

Name: DR. MARIEN BLANCO, D.M.D
Title: DENTIST/PRESIDENT
Phone: (787) 891-3430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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