| Koyama Dental Llc | |
|
269 Munoz Rivera San Juan PR 00918-2530 | |
| (787) 966-7375 | |
| Not Available |
| Full Name | Koyama Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 269 Munoz Rivera, San Juan, Puerto Rico |
| Authorized Official Name and Position | Daniela M Koyama (DENTIST) |
| Authorized Official Contact | 9392738750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koyama Dental Llc Po Box 361009 San Juan PR 00936-1009 Ph: (787) 810-9911 | Koyama Dental Llc 269 Munoz Rivera San Juan PR 00918-2530 Ph: (787) 966-7375 |
| NPI Number | 1366024424 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366024424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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