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Organization
GC PERIODONTICS LLC
Active
Organization
GC PERIODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLA CORDERO GALLARDO DMD (PRESIDENT)
(787) 422-6861
Entity
Organization
Contact information
Practice address
INSTITUTO SAN PABLO, CALLE SANTA CRUZ #66 SUITE 103, BAYAMON, PR 00961
(787) 925-1665
Mailing address
1511 AVE PONCE DE LEON, TORRE 900 APT. 994, SAN JUAN, PR 00909
(787) 371-0209
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
NULL
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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