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Organization
ASHFORD PERIODONTICS AND IMPLANTS PSC
Active
Organization
ASHFORD PERIODONTICS AND IMPLANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VICTORIA DIAZ DMD (PERIODONTIST)
(787) 403-6228
Entity
Organization
Contact information
Practice address
29 CALLE WASHINGTON STE 709, SAN JUAN, PR 00907-1503
(787) 400-3622
Mailing address
100 CALLE DEL MUELLE, CAPITOLIO PLAZA APT 2204, SAN JUAN, PR 00901
(787) 403-6228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
003156
PR
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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