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1215006648
JOSE DISLA PENA
SANTURCE, PR
NPI
1215006648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: PR 1978)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. JOSE DISLA PENA DMD
185 CALLE DELBREY
SANTURCE, PR 00911
Phone number: 787-725-1703
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Mailing Address
Dr. JOSE DISLA PENA DMD
185 CALLE DELBREY
SANTURCE, PR 00911
Phone number: 787-725-1703
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