NPI 1003119058

Ldv Endodontics

Organisation Endodontics Arecibo, PR

Practice location

Address: 65 Ave Barbosa Arecibo Medical Plaza STE. 206, Arecibo, PR 00612-2799
Phone: (787) 817-8030
Fax: (787) 880-4542
Mailing address: PO Box 250586, Aguadilla, PR 00604-0586

Authorised official

Name: Luz Desiree Visbal
Title: President/Owner
Phone: (787) 431-1158

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 2829 (PR)

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Registry record

NPI: 1003119058
Entity type: Organization
NPI issued: 14 Dec 2010
Record last updated: 14 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.