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General NPI Number Information
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NPI Number | 1093693673
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Entity Type | Organization
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Legal Business Name | CLINICA DENTAL MARBELLA, LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | PLAZA LAS VEGAS MALL, CARR. #2 KM 39.1
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-855-5342
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Fax |
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Provider Business Mailing Address
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Address Line | URB EL ROSARIO 2 CALLE 5 R 21
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City | VEGA BAJA
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State | PR
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Zip | 00693
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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 | DOCTOR
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Name | DR. DAYANISE ROMAN BELTRAN
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Credential | DMD
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Telephone | 787-501-8992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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