Idental Center, Professional Dentistry, Csp
NPI #1225161854 in Yabucoa, Puerto Rico
Provider Information
- NPI Number
- 1225161854
- Entity Type
- Organization
- Organization Name
- Idental Center, Professional Dentistry, Csp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- URBANIZACION VILLA HILDA
- Address 2
- A5 STREET 1
- City
- Yabucoa
- State
- Puerto Rico
- ZIP Code
- 00767
- Phone
- (787) 266-3140
Authorized Official
- Name
- DR. MAYRA CRISTINA GOMEZ, DMD
- Title
- PRESIDENT
- Phone
- (787) 266-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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