Individual
TAMARA SILVA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 CALLE MANUEL CRUZ, HUMACAO, PR 00791-3627
(787) 852-8255
Mailing address
58 CALLE MANUEL CRUZ, HUMACAO, PR 00791-3627
(787) 852-1579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2876
PR
Other
Enumeration date
05/06/2011
Last updated
05/10/2011
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