Individual
MISS AMBAR C MIRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 CALLE MUNOZ RIVERA, ADJUNTAS, PR 00601
(787) 202-2019
Mailing address
63 CALLE MUNOZ RIVERA, ADJUNTAS, PR 00601-2263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3205
PR
Other
Enumeration date
04/29/2014
Last updated
07/27/2015
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