| Integrated Dental Services LLC | |
|
20253 Ponce By Pass Centro Caribe Suite 1001 Ponce PR 00717 | |
| (787) 812-1010 | |
| Not Available |
| Full Name | Integrated Dental Services LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20253 Ponce By Pass, Ponce, Puerto Rico |
| Authorized Official Name and Position | Juan Carlos Marrero Gratacos (PRESIDENT) |
| Authorized Official Contact | 7878121010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Dental Services LLC 20253 Ponce By Pass Centro Caribe Suite 1001 Ponce PR 00717 Ph: (787) 812-1010 | Integrated Dental Services LLC 20253 Ponce By Pass Centro Caribe Suite 1001 Ponce PR 00717 Ph: (787) 812-1010 |
| NPI Number | 1790481935 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790481935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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