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NPI Code Detail

MEDICARE: DENTAL HEALTH GROUP

MEDICARE: DENTAL HEALTH GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2746PR

General Provider Information

NPI Number : 1538504568
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL HEALTH GROUP
Provider Business Mailing Address
First Line : PP14, CALLE 5
Second Line : URB. CANA
City : BAYAMON
State : PR
Zip : 00957
Country : US
Telephone Number : 787-998-5255
Fax Number :
Provider Business Practice Location Address
First Line : PP14 CALLE 5
Second Line : URB. CANA
City : BAYAMON
State : PR
Zip : 00957-6240
Country : US
Telephone Number : 787-998-5255
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LUIS JOEL CINTRON
Credential :
Telephone Number : 787-998-5255
Provider Enumeration Date : 05/03/2013
Last Update Date : 05/03/2013

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Directions to “DENTAL HEALTH GROUP ” Practice Location

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