Individual
YARELIS L LEBRON-BULTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
99 CALLE GUILLERMO RIEFKHOL, PATILLAS, PR 00723
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 873, PATILLAS, PR 00723-0873
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
005495
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140539
REGISTRY NUMBER
PR
Enumeration date
05/10/2019
Last updated
05/10/2019
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