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Organization
LDV ENDODONTICS
Active
Organization
LDV ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ DESIREE VISBAL D.M.D. (PRESIDENT/OWNER)
(787) 431-1158
Entity
Organization
Contact information
Practice address
65 AVE BARBOSA, ARECIBO MEDICAL PLAZA STE. 206, ARECIBO, PR 00612-2799
(787) 817-8030
(787) 880-4542
Mailing address
PO BOX 250586, AGUADILLA, PR 00604-0586
(787) 431-1158
(787) 880-4542
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2829
PR
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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