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1295868818
LEIDA M PORTELA
VESTAL, NY
NPI
1295868818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 42805)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Dr. LEIDA M PORTELA DDS
105 ANNETTA ST
VESTAL, NY 13850-2301
Phone number: 607-798-7188
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Mailing Address
Dr. LEIDA M PORTELA DDS
1225 ECHO RD
VESTAL, NY 13850-5218
Phone number: 607-786-1212
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