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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

NPI # 1235765983
LBN Legal business name BOUTIQUE DENTAL
Authorized official JESSICA RIVERA CRUZ - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2020
Last updated 03/13/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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