Organization
WISCO ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES GUSTAVO WISCOVITCH TURNEY DMD,MSD (PRESIDENT)
(727) 235-3912
Entity
Organization
Contact information
Practice address
EDIFICIO GUAYACAN 202 CALLE CINTRON SUITE 221, AIBONITO, PR 00705
(787) 520-7148
Mailing address
PO BOX 13004, SAN JUAN, PR 00908-3004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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