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General NPI Number Information
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NPI Number | 1346104429
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Entity Type | Organization
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Legal Business Name | SD DENTAL PSC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | CAPARRA GALLERY 107 AVE ORTEGON SUITE 306
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-273-6810
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Fax |
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Provider Business Mailing Address
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Address Line | COND. ATRIUM PARK APT 703C CALLE REGINA MEDINA 37
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-244-1591
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | SOLEIL DENIE RIVERA FIGUEROA
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Credential | DMD
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Telephone | 787-224-1591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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