Dentistas Misioneros De Pr (dmdpr)

NPI #1871042325 in Culebra, Puerto Rico

Provider Information

NPI Number: 1871042325
Entity Type: Organization
Organization Name: Dentistas Misioneros De Pr (dmdpr)
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2016
Last Updated: Sep 26, 2016

Practice Location

Address: CALLE WILLIAM FONT FINAL
Address 2: CLINICA DENTAL CDT CULEBRA
City: Culebra
State: Puerto Rico
ZIP Code: 00775
Phone: (787) 742-0001

Authorized Official

Name: DR. LILIAM ORTIZ, DMD
Title: PRESIDENT
Phone: (787) 852-8255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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