Organization
G.A. ORTHODONTICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMALIER AYALA DMD, MSD (DOCTOR/PRESIDENT)
(787) 880-0365
Entity
Organization
Contact information
Practice address
HC 1 BOX 7271, SUITE 205, HATILLO, PR 00659-7335
(787) 880-0365
Mailing address
HC 1 BOX 7271, SUITE 205, HATILLO, PR 00659-7335
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2500
PR
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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