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General NPI Number Information
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NPI Number | 1720941099
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Entity Type | Organization
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Legal Business Name | BLESSED SMILES PR PSC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | CARRETERA PR 102 KM 39.1
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-813-9088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60
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City | PENUELAS
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State | PR
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Zip | 00624-0060
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Country | US
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Telephone | 787-813-9088
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GLADYS ESTHER CRUZ
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Credential |
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Telephone | 787-813-9088
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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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