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Individual

DR. ENRIQUE AMY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD,MDS

Contact information

Practice address
8129 CALLE CONCORDIA, SUITE 502, PONCE, PR 00717-1548
(787) 848-1002
(787) 844-9019
Mailing address
8129 CALLE CONCORDIA, SUITE 502, PONCE, PR 00717-1548
(787) 844-0125

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
769
PR

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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