Organization
OMAR EL DENTISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR RIVERA LOPEZ DMD (DENTIST)
(787) 370-4346
Entity
Organization
Contact information
Practice address
CARR 152 KM 7.6 BO QUEBRADILLAS, SEC LOS LOPEZ, BARRANQUITAS, PR 00794
(787) 370-4346
Mailing address
HC 71 BOX 3278, NARANJITO, PR 00719-9536
(787) 370-4346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/23/2024
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