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Organization
PERIODONTAL & ORAL HEALTH, P.S.C.
Active
Organization
PERIODONTAL & ORAL HEALTH, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASPAR LUGO DMD (DENTIST-PERIODONTIST)
(787) 884-2237
Entity
Organization
Contact information
Practice address
CALLE BALDORIOTI 22, SUITE 9, MANATI, PR 00674
(787) 884-2237
Mailing address
EDIFICIO PUERTA DEL NORTE #22, SUITE 9, MANATI, PR 00674
(787) 884-2237
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2163
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649324351
INDIVIDUAL NPI
PR
Enumeration date
04/17/2008
Last updated
04/17/2008
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