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General NPI Number Information
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NPI Number | 1740908623
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Entity Type | Organization
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Legal Business Name | SERVICIOS DENTALES PSC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 60 CALLE DOLORES CABRERA ALONSO E
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City | HUMACAO
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State | PR
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Zip | 00791-4269
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Country | US
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Telephone | 787-852-5808
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Fax | 787-850-0440
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Provider Business Mailing Address
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Address Line | PO BOX 1232
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City | JUNCOS
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State | PR
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Zip | 00777-1232
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Country | US
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Telephone | 787-852-5808
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Fax | 787-850-0440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON COLON
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Credential | DMD
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Telephone | 787-852-5808
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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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