Organization
PERIOIMPLANTPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO JOSEV ALMODOVAR COLON DMD, MS (OWNER)
(787) 647-0814
Entity
Organization
Contact information
Practice address
B8 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 269-8687
Mailing address
B8 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 269-8687
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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