Individual
CARLOS CLAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
67 CALLE 65 INFANTERIA, ANASCO, PR 00610-2909
(787) 826-1178
Mailing address
PO BOX 6424, MAYAGUEZ, PR 00681-6424
(787) 826-1178
(787) 826-5260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1183
PR
Other
Enumeration date
07/12/2005
Last updated
12/04/2012
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