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General NPI Number Information
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NPI Number | 1699579383
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Entity Type | Organization
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Legal Business Name | CES DENTAL GROUP LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | BO DAJAOS, CARR 167 KM 11
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-449-3449
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Fax |
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Provider Business Mailing Address
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Address Line | BOSQUES DE LAS PALMAS 247 CALLE REAL
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-449-3449
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Fax |
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Authorized Official
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Title or Position | DENTISTA
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Name | CRISTINA SANTIAGO
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Credential | DMD
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Telephone | 787-449-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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