Individual
LYDIA M GIBBS ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CALLE SANTA CRUZ #59, BAYAMON, PR 00961
(787) 786-4180
(787) 786-5723
Mailing address
CALLE 2 C 5, URB SANTA PAULA, GUAYNABO, PR 00969
(787) 789-7257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1601
PR
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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