NPI 1740258557
Dento-Ped, Csp
Practice location
- Address
- Hc 1 Box 25708, San German, PR 00683-9806
- Phone
- (787) 892-0585
- Fax
- (787) 892-0585
Authorised official
- Name
- Selma Basora
- Title
- President/Secretary
- Phone
- (787) 892-0585
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1740258557
- Entity type
- Organization
- NPI issued
- 8 Mar 2006
- Record last updated
- 22 Aug 2020
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.