Most Relevant Information
Provider Data
| NPI Number: | 1003804857 |
| Provider Name: | RENE DAVID JUAN D.D.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 001133 |
Most Important Dates
| Enumeration Date: | 10/06/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
65 CALLE PEDRO SANTOS
SUITE 3
MOCA
PR
006764015
Practice Location Phone/Fax
| Phone: | 7878775865 |
| Fax: | 7878775865 |
Provider Mailing Location
65 CALLE PEDRO SANTOS
SUITE 3
MOCA
PR
006764015
Provider Mailing Phone/Fax
| Phone: | 7878775865 |
| Fax: | 7878775865 |