Organization
PERIODONCIA DEL OESTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO IVAN ALMODOVAR DMD (PRESIDENTE)
(787) 833-3548
Entity
Organization
Contact information
Practice address
EDIFICIO MEDICOS DE DIEGO, 14 E CALLE DE DIEGO, MAYAGUEZ, PR 00680
(787) 833-3548
(787) 265-7788
Mailing address
PO BOX 2896, MAYAGUEZ, PR 00681-2896
(787) 833-3548
(787) 265-7788
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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