NPI | 1730132358 |
---|---|
Other Name | ELADIO DELEON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN123006) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN8796) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DNF000275) | |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-04-18 |