| Ivanca Dental Llc | |
|
38-b Calle Betances Vega Baja PR 00693-4453 | |
| (787) 855-3996 | |
| (787) 855-3996 |
| Full Name | Ivanca Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 38-b Calle Betances, Vega Baja, Puerto Rico |
| Authorized Official Name and Position | Tiara Nahir Otero (DENTIST) |
| Authorized Official Contact | 7878553996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivanca Dental Llc 38-b Calle Betances Vega Baja PR 00693-4453 Ph: (787) 855-3996 | Ivanca Dental Llc 38-b Calle Betances Vega Baja PR 00693-4453 Ph: (787) 855-3996 |
| NPI Number | 1366876096 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366876096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2777 (Puerto Rico) | Primary |
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