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Organization
PDA MAXILLOFACIAL SURGERY LLC
Active
Organization
PDA MAXILLOFACIAL SURGERY LLC
Active
Other names
PDA MAXILLOFACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DEL PILAR (DMD, PRESIDENT)
(787) 425-0526
Entity
Organization
Contact information
Practice address
107 CALLE ORTEGON SUITE 100, CAPARRA GALLERY PLAZA, AVE. GONZALEZ GIUSTI, GUAYNABO, PR 00966
(787) 425-0526
Mailing address
PO BOX 366255, SAN JUAN, PR 00936-6255
(787) 425-0526
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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