| Dc Dental, Inc | |
|
61 Calle Domingo Caceres W Carolina PR 00985-6010 | |
| (787) 769-6880 | |
| Not Available |
| Full Name | Dc Dental, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 61 Calle Domingo Caceres W, Carolina, Puerto Rico |
| Authorized Official Name and Position | Rafael Angel Diaz Cancel (DMD) |
| Authorized Official Contact | 7875104519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Dental, Inc Po Box 840 Carolina PR 00986-0840 Ph: (787) 769-6880 | Dc Dental, Inc 61 Calle Domingo Caceres W Carolina PR 00985-6010 Ph: (787) 769-6880 |
| NPI Number | 1306495023 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306495023 | NPI | - | NPPES |
| 038819600 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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