Individual
DR. IDARNIS GAZTAMBIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
351 AVE, 2 STREET, MEDICAL EMPORIUM I, SUITE 310, MAYAGUEZ, PR 00680-1233
(787) 832-1760
Mailing address
351 AVE, 2 STREET, MEDICAL EMPORIUM I, SUITE 310, MAYAGUEZ, PR 00680-1233
(787) 832-1760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2898
PR
Other
Enumeration date
04/25/2012
Last updated
10/01/2013
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