JUAN CARLOS PORTELA

GLENDALE, NY
NPI1952599649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  053665)
Enumeration Date2007-10-09
Last Update Date2016-02-16
Business Address
-- JUAN CARLOS PORTELA DMD
6222 MYRTLE AVE
GLENDALE, NY 11385-6236
Phone number: 718-821-7432
Mailing Address
-- JUAN CARLOS PORTELA DMD
4545 CENTER BLVD APT 2908
LONG ISLAND CITY, NY 11109-5960
Phone number: 347-924-7736
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