Individual
EILEEN AYALA-COSME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
T1 CALLE 1A, REPTO. VALENCIA, HATO TEJAS, BAYAMON, PR 00959-3732
(787) 740-7873
Mailing address
T1 CALLE 1A, REPTO. VALENCIA, HATO TEJAS, BAYAMON, PR 00959-3732
(787) 740-7873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1915
PR
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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