Samantha Ordaz Moguel, DMD
Dentist, Prosthodontics in San Juan, PR. Individual provider (NPI-1).
NPI number1962038422
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1962038422
- Entity type
- Individual (NPI-1)
- Name
- Ms. Samantha Ordaz Moguel
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2020
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 3386 | PR | Yes |
Practice location
255 Calle Eleonor RooseveltSan Juan, PR 00918-2806
Phone 787-763-9190
Mailing address
88 Calle ZeusGuayama, PR 00784-6661
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All 34 Prosthodontics providers in San Juan · All 12,122 providers in San Juan
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