Individual
DR. WANDA NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 GRAND PASEOS BLVD SUITE 112, PMB 150, SAN JUAN, PR 00926
(787) 766-4979
Mailing address
100 GRAND PASEOS BLVD, PMB 150 SUITE 112, SAN JUAN, PR 00926
(787) 688-6361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2123
PR
Other
Enumeration date
11/13/2006
Last updated
10/30/2015
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