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General NPI Number Information
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NPI Number | 1013872241
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Entity Type | Organization
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Legal Business Name | RENOVA DENTAL LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | SUITE 122 2DO PISO CARR 493 KM 0.5 CARRIZALES
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City | HATILLO
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State | PR
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Zip | 00659-0000
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Country | US
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Telephone | 787-223-2297
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Fax |
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Provider Business Mailing Address
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Address Line | 8831 A CARR. 484
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City | QUEBRADILLA
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State | PR
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Zip | 00678-9740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. JAVIER ALBERTO CRUZ SAAVEDRA
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Credential | DMD
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Telephone | 787-223-2297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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