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KEISY BONANO BAEZ BS

Individual Provider (NPI-1) Active

Dentist, General Practice

Provider Information

NPI Number
1801523840
Provider Type
Individual Provider (NPI-1)
Credentials
BS
Status
Active

Contact & Location

Address
200 CARR 842 APT. P101, SAN JUAN, PR, 00926
Phone
(787) 223-1776

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program
Dentist, General Practice Primary License: PR #3501

All Addresses

LOCATION

200 CARR 842 APT. P101

SAN JUAN, PR, 00926

(787) 223-1776

MAILING

200 CARR 842 BOX105 APT. P101

SAN JUAN, PR, 00926

(787) 223-1776