Cavity Repair LLC
NPI #1689043531 in Ceiba, Puerto Rico
Provider Information
- NPI Number
- 1689043531
- Entity Type
- Organization
- Organization Name
- Cavity Repair LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 22, 2015
- Last Updated
- Sep 22, 2015
Practice Location
- Address
- 557B CALLE JULIAN RIVERA
- City
- Ceiba
- State
- Puerto Rico
- ZIP Code
- 00735
- Phone
- (787) 885-0560
Authorized Official
- Name
- DR. EDWIN E LAFONTAINE
- Title
- PRESIDENT
- Phone
- (787) 515-7036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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