Champion Dental PC

NPI #1366809725 in Vega Alta, Puerto Rico

Provider Information

NPI Number
1366809725
Entity Type
Organization
Organization Name
Champion Dental PC
Primary Specialty
Dentist
Enumeration Date
Jan 15, 2016
Last Updated
Jan 15, 2016

Practice Location

Address
CARRETERA 693 KM 13.7
Address 2
PLAZA DEL MAR SOPPING C SUITE 201B
ZIP Code
00646
Phone
(787) 369-7600

Authorized Official

Name
DERRICK CHAMPION, D.D.S.
Title
DENTIST/OWNER
Phone
(787) 369-7600

Specialties & Taxonomy Codes

Specialty
Dentist

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