| NPI | 1760846984 |
|---|---|
| Doing Business As | LORENA NUBES LEON |
| Entity Type | Organization |
| Authorized Contact | MARIA DEL CARMEN LORENA NUBES LEON Dentist 01152664-688-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 839382) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |