DR. Idelisse Almodovar, DMD

NPI #1245440882 in Hatillo, Puerto Rico

Provider Information

NPI Number: 1245440882
Entity Type: Individual
Name: DR. Idelisse Almodovar, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: CARR 493 BO CARRIZALES
Address 2: DEL NORTE MEDICAL CENTER
City: Hatillo
State: Puerto Rico
ZIP Code: 00659
Phone: (787) 878-8854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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