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Individual

ELIAS KEMUEL PABON-VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
229 CALLE DUARTE STE 4A, SAN JUAN, PR 00917-3631
(787) 945-5077
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1485
(984) 974-0355

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11703
NC
1223G0001X
General Practice Dentistry
Primary
3441
PR
1223G0001X
General Practice Dentistry
51251
NC
1223P0221X
Pediatric Dentistry
3441
PR

Other

Enumeration date
07/05/2019
Last updated
03/13/2026
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