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Contact Information

BOUTIQUE DENTAL
URB ROYAL TOWN AVE LAS CUMBRES A20
BAYAMON, PR00956
 Phone: 787-428-6363
 Fax: 787-799-5052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Periodontics

1223P0300X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for BOUTIQUE DENTAL · (Female)

NPI # 1235765983
Status Active
Credentials
Entity Individual
Enumeration date 03/13/2020
Last updated 03/13/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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