Provider First Line Business Practice Location Address:
OFICINA DENTAL LA CUMBRE LOCAL #3 CENTRO COMERCIAL LA
Provider Second Line Business Practice Location Address:
CUMBRE URB LA CUMBRE
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-720-1684
Provider Business Practice Location Address Fax Number:
787-708-5272
Provider Enumeration Date:
02/20/2007