Organization
VP PERIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRMARIS L PERDOMO DMD (PERIODONTIST)
(787) 934-5970
Entity
Organization
Contact information
Practice address
CARR 693 INT 659 KM 1.5 BO MAGUAYO, SUITE B240, DORADO, PR 00646
(787) 934-5970
Mailing address
1309 AVE MAGDALENA APT C12, SAN JUAN, PR 00907-1953
(787) 934-5970
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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