| Organization Name: | AJL DENTAL |
| NPI Number: | 1104213099 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXIS J LEBRON (PRESIDENT) |
| Mailing Address: | 403 Calle Munoz Rivera Penuelas |
| State: | PR US |
| Postal Code: | 006242016 |
| Phone Number: | 7874647980 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2015 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 1585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |