Individual
MRS. WALESKA VALENTIN PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
BO CANTERA # 65, CARR. #2 KM 44.2, MANATI, PR 00674
(787) 854-1954
Mailing address
PO BOX 1195, VEGA BAJA, PR 00694-1195
(787) 854-1954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2360
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360
STATE LICENSE
PR
Enumeration date
05/22/2007
Last updated
07/08/2007
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