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Individual

DR. JAVIER A AYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
M10 AVE CONQUISTADOR VALLE VERDE, PLAZA DEL RIO SUITE 201, FAJARDO, PR 00738
(787) 860-4223
(787) 863-6972
Mailing address
PO BOX 9150, HUMACAO, PR 00792-9150
(787) 860-4223
(787) 863-6972

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2563
PR

Other

Enumeration date
07/05/2005
Last updated
06/10/2020
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