Organization
PDA MAXILLOFACIAL SURGERY LLC
Active
Other names
PDA MAXILLOFACIAL SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DEL PILAR (DMD, PRESIDENT)
(787) 425-0526
Entity
Organization
Contact information
Practice address
107 CALLE ORTEGON SUITE 100, CAPARRA GALLERY PLAZA, AVE. GONZALEZ GIUSTI, GUAYNABO, PR 00966
(787) 425-0526
Mailing address
PO BOX 366255, SAN JUAN, PR 00936-6255
(787) 425-0526
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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