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Angelo Fernandez-Sosa, DMD Valid NPI

Individual provider · General Practice Dentistry · Punta Santiago, PR

NPI
1053474791
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
1212 (PR)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-12-17
Last updated
2007-07-08
Practice location
108a Calle 5, Urb. Verde Mar
Punta Santiago, PR 00741-2316
(787) 852-5130

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