Vip Dental LLC

NPI #1639897101 in Cidra, Puerto Rico

Provider Information

NPI Number: 1639897101
Entity Type: Organization
Organization Name: Vip Dental LLC
Primary Specialty: Dentist
Enumeration Date: Aug 19, 2022
Last Updated: Aug 19, 2022

Practice Location

Address: 5 PALMER ST.
City: Cidra
State: Puerto Rico
ZIP Code: 00739
Phone: (787) 739-8541

Authorized Official

Name: JOSE A ORTIZ CARRO, DMD
Title: OFFICE MANAGER
Phone: (787) 739-8541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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