Laser Dental Centers,csp
NPI #1669671269 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1669671269
- Entity Type
- Organization
- Organization Name
- Laser Dental Centers,csp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 13, 2007
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- ASHFORD MEDICAL CENTER SUITE 808 # 29
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00907
- Phone
- (787) 728-4776
Authorized Official
- Name
- DR. CLYDE FASICK JULIA, MD
- Title
- DENTITA
- Phone
- (787) 725-4776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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