Individual provider · Type 1 NPI
Edgardo E. Olivencia, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Corozal, PR
Practice location
Urb. Sanfeliz Calle 5 #2
Corozal, PR 00784
Fax (787) 793-5539
Mailing address
Florencia St. #E-12, Ext. Villa Caparra
Guaynabo, PR 00966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 876 (PR) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1285710228
Edgardo E. Olivencia, DMD's National Provider Identifier is 1285710228, issued on Oct 31, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Corozal, PR. The record was last updated on Jul 8, 2007.