| Mpb Dental LLC | |
|
Galeria Profesional Calle Concordia 8118 Oficina 107 Ponce PR 00717 | |
| (787) 843-4465 | |
| Not Available |
| Full Name | Mpb Dental LLC |
|---|---|
| Speciality | Dentist |
| Location | Galeria Profesional Calle Concordia 8118, Ponce, Puerto Rico |
| Authorized Official Name and Position | Margiezel Pagan (PRESIDENT-DMD) |
| Authorized Official Contact | 7875486158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpb Dental LLC Galeria Profesional Calle Concordia 8118 Oficina 107 Ponce PR 00717 Ph: (787) 843-4465 | Mpb Dental LLC Galeria Profesional Calle Concordia 8118 Oficina 107 Ponce PR 00717 Ph: (787) 843-4465 |
| NPI Number | 1588445571 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/04/2023 |
| Medicare PECOS PAC ID | 7517318728 |
|---|---|
| Medicare Enrollment ID | O20240111002093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588445571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| Provider Name | Margiezel Pagan Banchs |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831586296 PECOS PAC ID: 5890099113 Enrollment ID: I20160208000942 |
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