ENRIQUE LACUESTA

GULFPORT, MS
NPI1871656686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MS  1758-77)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
Dr. ENRIQUE LACUESTA D.D.S.
22-29TH STREET SUITE A
GULFPORT, MS 39507
Phone number: 228-868-9615
Mailing Address
Dr. ENRIQUE LACUESTA D.D.S.
22-29TH STREET SUITE A
GULFPORT, MS 39507
Phone number: 228-868-9615