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General NPI Number Information
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NPI Number | 1407280258
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Entity Type | Organization
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Legal Business Name | OCEAN DENTAL, INC.
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | ALAMO 132 URB. EL VALLE
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-593-3075
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Fax |
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Provider Business Mailing Address
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Address Line | ALAMO 132 URB. EL VALLE
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-593-3075
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOCELINE RAMIREZ
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Credential | D.M.D.
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Telephone | 787-593-3075
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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 | D2598
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License Number State | PR
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