Individual
DR. ISAMAR BURGOS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
LA FUENTE TOWN CENTER 706 MARGINAL SUITE 11122, GUAYAMA, PR 00784
(787) 866-5227
Mailing address
PO BOX 776, SALINAS, PR 00751-0776
(787) 202-5881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2894
PR
Other
Enumeration date
05/01/2012
Last updated
08/10/2020
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