Advance Dental Jrj,psc

NPI #1508117078 in Toa Baja, Puerto Rico

Provider Information

NPI Number: 1508117078
Entity Type: Organization
Organization Name: Advance Dental Jrj,psc
Primary Specialty: Dentist
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: AVE.SABANA SECA
Address 2: CARR 867 KM 2.2
City: Toa Baja
State: Puerto Rico
ZIP Code: 00952
Phone: (787) 261-3260

Authorized Official

Name: DR. JOSE M RODRIGUEZ BENITEZ, M.D.
Title: PRESIDENT
Phone: (787) 745-0708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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