Individual
DR. MAYLEEN AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CASTILLA 1250 PUERTO NUEVO, SAN JUAN, PR 00921
(787) 783-3935
Mailing address
824 EAST 181, SUITE 2, BRONX, NY 10460
(718) 933-0531
(718) 933-0481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056856
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
10/10/2013
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