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NPI Code Detail

MEDICARE: SD DENTAL PSC

MEDICARE: SD DENTAL PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1346104429
Entity Type Code : Organization
Provider Name (Legal Business Name) : SD DENTAL PSC
Provider Business Mailing Address
First Line : COND. ATRIUM PARK APT 703C
Second Line : CALLE REGINA MEDINA 37
City : GUAYNABO
State : PR
Zip : 00969
Country : US
Telephone Number : 787-244-1591
Fax Number :
Provider Business Practice Location Address
First Line : CAPARRA GALLERY 107 AVE ORTEGON
Second Line : SUITE 306
City : GUAYNABO
State : PR
Zip : 00966
Country : US
Telephone Number : 787-273-6810
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : SOLEIL DENIE RIVERA FIGUEROA
Credential : DMD
Telephone Number : 787-224-1591
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “SD DENTAL PSC ” Practice Location

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