Provider Demographics
NPI:1154306173
Name:BUSQUETS, ANTONIO R JR (DMD, MS)
Entity Type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:R
Last Name:BUSQUETS
Suffix:JR
Gender:M
Credentials:DMD, MS
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Mailing Address - Street 1:611 CALLE FERROCARRIL
Mailing Address - Street 2:STE 1
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1110
Mailing Address - Country:US
Mailing Address - Phone:787-840-2715
Mailing Address - Fax:787-843-6230
Practice Address - Street 1:611 CALLE FERROCARRIL
Practice Address - Street 2:STE 1
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1110
Practice Address - Country:US
Practice Address - Phone:787-840-2715
Practice Address - Fax:787-843-6230
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR6781223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry