Individual
EDUARDO MAYOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
LOIZA 1811, SAN JUAN, PR 00911
(787) 722-1185
Mailing address
PONCE DE LEON 902, MIRAMAR EMBASSY APT 605, SAN JUAN, PR 00907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1402
PR
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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