Provider Demographics
NPI:1265837462
Name:ALEDENT C.S.P.
Entity Type:Organization
Organization Name:ALEDENT C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-727-2791
Mailing Address - Street 1:2434 CALLE LOIZA
Mailing Address - Street 2:CENTRO COMERCIAL PUNTA LAS MARIAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00913
Mailing Address - Country:US
Mailing Address - Phone:787-727-2791
Mailing Address - Fax:
Practice Address - Street 1:2434 CALLE LOIZA
Practice Address - Street 2:CENTRO COMERCIAL PUNTA LAS MARIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00913
Practice Address - Country:US
Practice Address - Phone:787-727-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty