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Edwin E Lafontaine, DMD Valid NPI

Individual provider · General Practice Dentistry · Ceiba, PR

NPI
1629185822
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
2080 (PR)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-08-24
Last updated
2015-10-08
Practice location
557b Calle Julian Rivera
Ceiba, PR 00735
(787) 885-0560

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