| Idental Center, Professional Dentistry, Csp | |
|
Urbanizacion Villa Hilda A5 Street 1 Yabucoa PR 00767 | |
| (787) 266-3140 | |
| (787) 893-3922 |
| Full Name | Idental Center, Professional Dentistry, Csp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Urbanizacion Villa Hilda, Yabucoa, Puerto Rico |
| Authorized Official Name and Position | Mayra Cristina Gomez (PRESIDENT) |
| Authorized Official Contact | 7872663140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idental Center, Professional Dentistry, Csp Po Box 1198 Las Piedras PR 00771-1198 Ph: (787) 266-3140 | Idental Center, Professional Dentistry, Csp Urbanizacion Villa Hilda A5 Street 1 Yabucoa PR 00767 Ph: (787) 266-3140 |
| NPI Number | 1225161854 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225161854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2680 (Puerto Rico) | Primary |
Idental Center, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 Phone: 787-266-3140 | |
Idental Center, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 Phone: 787-266-3140 |