Provider First Line Business Practice Location Address:
CDT DE QUEBRADILLA CLINICA DENTAL APARTADO 1551
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUEBRADILA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-895-2314
Provider Business Practice Location Address Fax Number:
787-895-1540
Provider Enumeration Date:
08/31/2006