Ivanca Dental LLC
NPI #1366876096 in Vega Baja, Puerto Rico
Provider Information
- NPI Number
- 1366876096
- Entity Type
- Organization
- Organization Name
- Ivanca Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 29, 2013
- Last Updated
- Aug 29, 2013
Practice Location
- Address
- 38-B CALLE BETANCES
- City
- Vega Baja
- State
- Puerto Rico
- ZIP Code
- 00693-4453
- Phone
- (787) 855-3996
Authorized Official
- Name
- DR. TIARA NAHIR OTERO, D.M.D.
- Title
- DENTIST
- Phone
- (787) 855-3996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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