Provider First Line Business Practice Location Address:
CARR 857 KM 0.4 BO CANOVANILLAS
Provider Second Line Business Practice Location Address:
DENTALIA MEDIKA CORP
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00987-0800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-363-9378
Provider Business Practice Location Address Fax Number:
787-276-2923
Provider Enumeration Date:
02/05/2007