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General NPI Number Information
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NPI Number | 1386514370
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Entity Type | Organization
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Legal Business Name | DENTAL SERVICES ORGANIZATION LLC
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | CARR 725 KM 0.5 BO. LLANOS PARQUE INDUSTRIAL L238-0-61
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City | AIBONITO
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State | PR
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Zip | 00705-3526
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Country | US
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Telephone | 787-379-5662
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71114
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City | SAN JUAN
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State | PR
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Zip | 00936-8014
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Country | US
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Telephone | 787-379-5662
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Fax |
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Authorized Official
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Title or Position | ADM
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Name | MISS EVELYN MULERO
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Credential |
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Telephone | 787-525-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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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 | 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 #3
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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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Taxonomy #4
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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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