Organization
ASHFORD PERIODONTICS AND IMPLANTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA VICTORIA DIAZ DMD (PERIODONTIST)
(787) 403-6228
Entity
Organization
Contact information
Practice address
29 CALLE WASHINGTON STE 709, SAN JUAN, PR 00907-1503
(787) 400-3622
Mailing address
100 CALLE DEL MUELLE, CAPITOLIO PLAZA APT 2204, SAN JUAN, PR 00901
(787) 403-6228
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
003156
PR
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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