Organization
GRUPO DENTAL CORDOVA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS E CORDOVA DMD (DENTIST)
(787) 780-6261
Entity
Organization
Contact information
Practice address
DD16 CALLE 25, RIVERVIEW, BAYAMON, PR 00961-3804
(787) 780-6261
Mailing address
CALLE 25 DD-16, RIVERVIEW, BAYAMON, PR 00966
(787) 780-6261
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
987
PR
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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