Organization · Type 2 NPI
San Juan Pediatric Dental Home PSC
Dental Clinic/Center · San Juan, PR
NPI number
1780876995
Active
Practice location
282 Ave Pinero Ste 211, Plaza El Amal
San Juan, PR 00927-3918
Fax (787) 753-3934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 1980 (PR) |
Dental Clinic/Center: Definition to come...
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About NPI 1780876995
San Juan Pediatric Dental Home PSC's National Provider Identifier is 1780876995, issued on Aug 11, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Juan, PR. The record was last updated on Aug 11, 2007.