Organization
LOMAS VERDES FAMILY DENTAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZMARY GARCIA (VICE PRESIDENT)
(787) 787-2384
Entity
Organization
Contact information
Practice address
COND LAUREL # Z30, URB LOMAS VERDES, BAYAMON, PR 00956-3273
(787) 787-2384
Mailing address
COND LAUREL # Z30, URB LOMAS VERDES, BAYAMON, PR 00956-3273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2750
PR
1223P0221X
Pediatric Dentistry
2795
PR
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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