Whalio Doctors

NPI 1043736218

Modomi J. Roman Lebron

Practitioner Dental Assistant Patillas, PR

Practice location

Address
99 Guillermo Riefkkohl St, Patillas, PR 00723-0072
Phone
(787) 839-4320
Fax
(787) 839-4320
Mailing address
99 Guillermo Riefkohl Street, Patillas, PR 00723

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 007527 (PR)

Registry record

NPI
1043736218
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Aug 2017
Record last updated
16 Jun 2018

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.