Clinica Dental Canton Mall
NPI #1760711964 in Bayamon, Puerto Rico
Provider Information
- NPI Number
- 1760711964
- Entity Type
- Organization
- Organization Name
- Clinica Dental Canton Mall
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 17, 2009
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- RIO HONDO
- Address 2
- PMB SUITE 452
- City
- Bayamon
- State
- Puerto Rico
- ZIP Code
- 00961-3106
- Phone
- (787) 785-3170
Authorized Official
- Name
- DR. JOSE ANTONIO AGUIRRE, D.M.D.
- Title
- CHIEF OF STAFF
- Phone
- (787) 785-3170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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