| Idental Center, Psc | |
|
A5 Street 1 Urbanizacion Villa Hilda Yabucoa PR 00767 | |
| (787) 266-3140 | |
| Not Available |
| Full Name | Idental Center, Psc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | A5 Street 1, Yabucoa, Puerto Rico |
| Authorized Official Name and Position | Maria I Gomez (MANAGER) |
| Authorized Official Contact | 7872663140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idental Center, Psc Po Box 1198 Las Piedras PR 00771-1198 Ph: () - | Idental Center, Psc A5 Street 1 Urbanizacion Villa Hilda Yabucoa PR 00767 Ph: (787) 266-3140 |
| NPI Number | 1760785802 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760785802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2663 (Puerto Rico) | Primary |
Idental Center, Professional Dentistry, Csp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Urbanizacion Villa Hilda, A5 Street 1, Yabucoa, PR 00767 Phone: 787-266-3140 Fax: 787-893-3922 | |
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 |