NPI | 1972979607 |
---|---|
Other Name | NICK LEON-GUERRERO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401416454) |
Additional Taxonomies | 122300000X Dentist (Licence: NY 058018) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2020-04-05 |