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General NPI Number Information
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NPI Number | 1205728920
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Entity Type | Organization
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Legal Business Name | RESTORE SKIN AND SMILE CENTER LLC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4 CALLE COMERCIO
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City | RINCON
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State | PR
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Zip | 00677-2201
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Country | US
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Telephone | 939-407-1374
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Fax |
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Provider Business Mailing Address
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Address Line | 213 HACIENDA LA MONSERRATE CALLE GORRION C5
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-600-6806
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Fax |
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. MONICA MARIE RODRIGUEZ MONROIG
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Credential | DMD
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Telephone | 939-407-1374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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