Individual
MELISA POLHAMUS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CARR 172 KM 13.5, AVE EL JIBARO, CIDRA, PR 00739
(787) 739-8182
Mailing address
PO BOX 1863, GUAYNABO, PR 00970-1863
(787) 615-1937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2791
PR
1223G0001X
General Practice Dentistry
DN 20315
FL
Other
Enumeration date
01/22/2008
Last updated
01/29/2015
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