Provider Demographics
NPI:1851361141
Name:MARCIAL, ALODIA TERESITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALODIA
Middle Name:TERESITA
Last Name:MARCIAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:AVE. ROOSEVELT 525
Mailing Address - Street 2:SUITE 810, LA TORRE PLAZA LAS AMERICAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-751-1053
Mailing Address - Fax:787-767-5640
Practice Address - Street 1:AVE. ROOSEVELT 525
Practice Address - Street 2:SUITE 810, LA TORRE PLAZA LAS AMERICAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-751-1053
Practice Address - Fax:787-767-5640
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice