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Organization
CLINICA DENTAL RAFAEL J.GOMEZ MATTA PSC
Active
Organization
CLINICA DENTAL RAFAEL J.GOMEZ MATTA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL JOSE GOMEZ DMD (PRESIDENT)
(787) 735-3500
Entity
Organization
Contact information
Practice address
57 CALLE DEGETAU N, AIBONITO, PR 00705-3613
(787) 735-3500
Mailing address
PO BOX 2124, AIBONITO, PR 00705-2124
(787) 735-3500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0721
PR
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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