Organization
EG DENTAL HOLDINGS, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN CELESTE GOTAY D.D.S. (OWNER)
(787) 743-2444
Entity
Organization
Contact information
Practice address
CALLE ACOSTA ESQ. RUIZ BELVIS 43, CAGUAS, PR 00725
(787) 743-2444
Mailing address
CALLE ACOSTA ESQ. RUIZ BELVIS 43, CAGUAS, PR 00725
(787) 743-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2042
PR
Other
Enumeration date
03/02/2007
Last updated
04/23/2012
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