Laser Dental Centers,CSP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LASER DENTAL CENTERS,CSP

Practice address

Ashford Medical Center Suite 808 # 29
San Juan, PR 00907

Phone

(787) 728-4776

Fax

(787) 725-4776

NPI assigned

Jul 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clyde Fasick Julia, MD

Title

Dentita

Phone

(787) 725-4776

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1669671269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 352 # 35 JUAN C BORBON STE 67",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-725-4776",
            "fax_number": "787-725-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL CENTER SUITE 808 # 29",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-728-4776",
            "fax_number": "787-725-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER DENTAL CENTERS,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "JULIA",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "FASICK",
        "authorized_official_title_or_position": "DENTITA",
        "authorized_official_telephone_number": "787-725-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Las Lomas Medical Group CSP (centro medico las lomas)
• Arnaldo Enrique Lasa Imbert, M.D.
• Carla Victoria Lassalle
• Carmen Lassus
• Rafael Lastra, M.D.
• Liselle Lathroum, M.D.
• Felix Latimer, LPN

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.