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General NPI Number Information
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NPI Number | 1699658450
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Entity Type | Organization
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Legal Business Name | AMO ENDODONTICS LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | DORAMAR PLAZA LOCAL B 265 BO MAGUAYO CARR 659 INT CARR 693 KM 1.5
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-366-6567
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Fax |
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON # 67-373
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City | GUAYNABO
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State | PR
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Zip | 00969-5374
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Country | US
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Telephone | 787-366-6567
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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. ALEXANDRA M ORTIZ JAVIER
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Credential | DMD
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Telephone | 787-366-6567
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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 |
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License Number State |
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