Clyde Henry Fasick DMD

NPI 1851442669 - Dentist - 1223G0001X

NPI Details
NPI 1851442669
Gender Male
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
29 WASHINGTON ST
SUITE 808 ASHFORD MEDICAL CENTER
SAN JUAN PR, 00907, US
Phone (787) 725-4776
Fax (787) 725-4776
Business Location
ASHFORD MEDICAL CENTER
SUITE 808 #29 WASHINGTON ST
SAN JUAN PR, 00907, US
Phone (787) 725-4776
Fax (787) 725-4776
Toxanomy
Taxonomy Code 1223G0001X
License State Puerto Rico
License Number 1729
Remove 1851442669 NPI Number
 

According to our database, Dr. Clyde Henry Fasick DMD NPI is 1851442669, taxonomy code is 1223G0001X and license number is 1729, license state is located at Puerto Rico. Clyde Henry Fasick DMD physically located at 29 Washington St, San Juan PR, 00907. NPI Number Clyde Henry Fasick DMD has the Individual type.

Sponsored links

1851442669 NPI number is provided on an as is basis without warranty of any kind. 1851442669 is maintained by the National Plan & Provider Enumeration System. The contents of Clyde Henry Fasick DMD are for informational purposes only.