Idental Center, Psc
NPI #1912200908 in Yabucoa, Puerto Rico
Provider Information
- NPI Number
- 1912200908
- Entity Type
- Organization
- Organization Name
- Idental Center, Psc
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 13, 2010
- Last Updated
- Dec 13, 2010
Practice Location
- Address
- A5 STREET 1
- Address 2
- URBANIZACION VILLA HILDA
- City
- Yabucoa
- State
- Puerto Rico
- ZIP Code
- 00767
- Phone
- (787) 266-3140
Authorized Official
- Name
- MARIA I GOMEZ
- Title
- MANAGER
- Phone
- (787) 266-3140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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