Individual
DR. EDDA LIZ BAUTISTA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
CALLE MUNOZ RIVERA #65, JUNCOS, PR 00777
(787) 713-9788
Mailing address
PO BOX 1802, JUNCOS, PR 00777-1802
(787) 713-9788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2438
PR
1223G0001X
General Practice Dentistry
34839
TX
Other
Enumeration date
07/12/2005
Last updated
07/02/2019
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