Individual
DR. HIPOLITO FANTAUZZI-ORTIZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 CALLE PROGRESO, AGUADILLA, PR 00603-5000
(787) 891-2555
(787) 891-2555
Mailing address
PO BOX 621, AGUADILLA, PR 00605-0621
(787) 891-2555
(787) 891-2555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0561
PR
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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