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Organization
OFICINA DENTAL DR GOMEZ, C.S.P.
Active
Organization
OFICINA DENTAL DR GOMEZ, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R GOMEZ DMD (DENTIST)
(787) 731-2790
Entity
Organization
Contact information
Practice address
CARR. 173 KM 8.4, BARRIO RIOS, GUYNABO, PR 00969
(787) 731-2790
Mailing address
HC 1 BOX 29030, DPT 523, CAGUAS, PR 00725-8900
(787) 731-2103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2408
PR
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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