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Champion Dental PC — NPI 1366809725, Vega Alta, PR | NPI Central

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NPI 1366809725

OrganizationActive

Champion Dental PC

NPI 1366809725 · Dentist · Vega Alta, PR

Provider details

NPI number: 1366809725
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Derrick Champion, Dentist/Owner(787) 369-7600
License: 3179 (PR)

Specialties & taxonomies

DentistPrimary122300000XLicense 3179 (PR)
Dental Providers

Practice location

Carretera 693 Km 13.7

Plaza Del Mar Sopping C Suite 201b

Vega Alta, PR 00646

Phone: (787) 369-7600

More PR providers

Mailing address

207 Calle Metis

Dorado, PR 00646-4618

Registry dates

Enumerated: 2016-01-15
Last updated: 2016-01-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.