Individual
DR. WALTER VIVALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
32 CALLE VICTORIA, ANASCO, PR 00610-2933
(787) 826-7001
(787) 826-7001
Mailing address
32 CALLE VICTORIA, ANASCO, PR 00610-2933
(787) 826-7001
(787) 826-7001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2154
PR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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