Gc Periodontics Llc | |
Instituto San Pablo Calle Santa Cruz #66 Suite 103 Bayamon PR 00961 | |
(787) 925-1665 | |
Not Available |
Full Name | Gc Periodontics Llc |
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Speciality | Dentist - Periodontics |
Location | Instituto San Pablo, Bayamon, Puerto Rico |
Authorized Official Name and Position | Gabriella Cordero Gallardo (PRESIDENT) |
Authorized Official Contact | 7874226861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gc Periodontics Llc 1511 Ave Ponce De Leon Torre 900 Apt. 994 San Juan PR 00909 Ph: (787) 371-0209 | Gc Periodontics Llc Instituto San Pablo Calle Santa Cruz #66 Suite 103 Bayamon PR 00961 Ph: (787) 925-1665 |
NPI Number | 1376361824 |
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Provider Enumeration Date | 10/02/2024 |
Last Update Date | 10/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376361824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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