Organization
GRUPO DENTAL AYALA DEL RIO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER A AYALA D.M.D. (PRESIDENT)
(787) 860-4223
Entity
Organization
Contact information
Practice address
M10 AVE. EL CONQUISTADOR VALLE VERDE, SUITE 201, FAJARDO, PR 00738-3743
(787) 860-4223
(787) 863-6972
Mailing address
PO BOX 9150, HUMACAO, PR 00792-9150
(787) 860-4223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/22/2020
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