Integrated Dental Services LLC
NPI #1790481935 in Ponce, Puerto Rico
Provider Information
- NPI Number
- 1790481935
- Entity Type
- Organization
- Organization Name
- Integrated Dental Services LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 31, 2023
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 20253 PONCE BY PASS
- Address 2
- CENTRO CARIBE SUITE 1001
- City
- Ponce
- State
- Puerto Rico
- ZIP Code
- 00717
- Phone
- (787) 812-1010
Authorized Official
- Name
- JUAN CARLOS MARRERO GRATACOS, DMD
- Title
- PRESIDENT
- Phone
- (787) 812-1010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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