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General NPI Number Information
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NPI Number | 1770550642
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Entity Type | Organization
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Legal Business Name | BETTER SMILES & CO., PSC
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON ASHFORD MEDICAL CENTER SUITE 505
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-723-3036
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Fax | 787-723-3036
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Provider Business Mailing Address
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Address Line | 29 CALLE WASHINGTON ASHFORD MEDICAL CENTER SUITE 505
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-723-3036
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Fax | 787-723-3036
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO J. HADDOCK
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Credential | DDS
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Telephone | 787-723-3036
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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 | 1935
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License Number State | PR
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