Provider Demographics
NPI:1699812594
Name:QUALITY DENTAL CARE & ESTHETICS, PSC
Entity type:Organization
Organization Name:QUALITY DENTAL CARE & ESTHETICS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST & PRACTICE OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CORRETJER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-720-1323
Mailing Address - Street 1:AVE. ESMERALDA #6
Mailing Address - Street 2:URB. POME DE LEON
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-720-1323
Mailing Address - Fax:787-720-1323
Practice Address - Street 1:AVE. ESMERALDA #6
Practice Address - Street 2:URB. POME DE LEON
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-720-1323
Practice Address - Fax:787-720-1323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2687122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty