DR. Idarnis Gaztambide, D.M.D., M.S.

NPI #1417215633 in Mayaguez, Puerto Rico

Provider Information

NPI Number: 1417215633
Entity Type: Individual
Name: DR. Idarnis Gaztambide, D.M.D., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D., M.S.
Enumeration Date: Apr 25, 2012
Last Updated: Oct 1, 2013

Practice Location

Address: 351 AVE, 2 STREET
Address 2: MEDICAL EMPORIUM I, SUITE 310
City: Mayaguez
State: Puerto Rico
ZIP Code: 00680-1233
Phone: (787) 832-1760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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