Toa Alta Dental Group Corporate
NPI #1427181841 in Toa Alta, Puerto Rico
Provider Information
- NPI Number
- 1427181841
- Entity Type
- Organization
- Organization Name
- Toa Alta Dental Group Corporate
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 15 CALLE MUNOZ RIVERA (ALTOS)
- Address 2
- CALLE MUNOZ RIVERA 15
- City
- Toa Alta
- State
- Puerto Rico
- ZIP Code
- 00953
- Phone
- (787) 870-1425
Authorized Official
- Name
- MR. JUAN MARCOS VELAZQUEZ RAMIREZ, DENTAL ADMINISTRATIO
- Title
- ADMINISTRATOR
- Phone
- (787) 870-1425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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