CLYDE HENRY FASICK

SAN JUAN, PR
NPI1851442669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PR  1729)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
Dr. CLYDE HENRY FASICK DMD
29 WASHINGTON ST SUITE 808 ASHFORD MEDICAL CENTER
SAN JUAN, PR 00907
Phone number: 787-725-4776
Mailing Address
Dr. CLYDE HENRY FASICK DMD
ASHFORD MEDICAL CENTER SUITE 808 #29 WASHINGTON ST
SAN JUAN, PR 00907
Phone number: 787-725-4776
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