VR SMILE DESIGN NPI 1043509102

NPI Information

VR SMILE DESIGN is a dental clinic center in Mayaguez, PR. VR SMILE DESIGN NPI is 1043509102. The provider is registered as an organization entity type.

The provider's business location address is:

OFFICE PARK III
SUITE 205 ROAD #2
MAYAGUEZ, PR
ZIP 00680
Phone: (787) 652-5550
Fax: (787) 652-5550

The provider's authorized official is Pedro Van Rhyn .
The authorized official title is President and has the following contact phone number (787) 652-5550.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 3/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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