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1104897479
JOSE IVAN MALDONADO
VEGA ALTA, PR
NPI
1104897479
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PR 1778)
Enumeration Date
2006-01-27
Last Update Date
2016-03-14
Business Address
Dr. JOSE IVAN MALDONADO D.D.S.
48 CALLE TEODOMIRO RAMIREZ
VEGA ALTA, PR 00692-6518
Phone number: 787-883-2030
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Mailing Address
Dr. JOSE IVAN MALDONADO D.D.S.
400 CARR 2
VEGA ALTA, PR 00692-6069
Phone number: 787-883-2030
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