Individual
DORIS R MAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
502 CALLE LUIS MUNIZ SOUFFRONT, VILLA GRANADA, SAN JUAN, PR 00923-2419
(787) 282-7492
(787) 282-0711
Mailing address
1299 CALLE W BOSCH APT 1209, TERRASAS DE SAN JUAN, SAN JUAN, PR 00924-4669
(787) 282-7492
(787) 282-0711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2247
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2247
DENTIST LICENSE P.R.
PR
Enumeration date
09/20/2006
Last updated
07/13/2016
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