NPI 1003168675

San Patricio Dental, LLC

Organisation Pediatric Dentistry Guaynabo, PR

Practice location

Address: 101 Ave San Patricio Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645
Phone: (787) 565-0134

Authorised official

Name: Anabelle M Mudafort
Title: President
Phone: (787) 565-0134

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 2787 (PR)

Other Dentist providers in Puerto Rico →

Endodontics

Dental Providers Taxonomy 1223E0200X Licence 2808 (PR)

Registry record

NPI: 1003168675
Entity type: Organization
NPI issued: 8 Oct 2012
Record last updated: 8 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.