Individual
MARIETTA COLON CASASNOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 CALLE MARGINAL VILLAMAR, CAROLINA, PR 00979-6345
(787) 727-8960
Mailing address
PO BOX 909, ARECIBO, PR 00613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3238
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2016
Last updated
03/17/2018
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