| Ponce Dental Group | |
|
S1 Calle 15 Jardines Fagot Ponce PR 00716-4048 | |
| (787) 840-3435 | |
| (787) 840-3090 |
| Full Name | Ponce Dental Group |
|---|---|
| Speciality | Dentist |
| Location | S1 Calle 15, Ponce, Puerto Rico |
| Authorized Official Name and Position | Jose R Munoz-busquets (OWNER) |
| Authorized Official Contact | 7878403435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponce Dental Group S1 Calle 15 Jardines Fagot Ponce PR 00716-4048 Ph: (787) 840-3435 | Ponce Dental Group S1 Calle 15 Jardines Fagot Ponce PR 00716-4048 Ph: (787) 840-3435 |
| NPI Number | 1578602447 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578602447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1712 (Puerto Rico) | Primary |
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