Mark Chevy S Ledesma Dds Inc in W Covina - Dentist

Mark Chevy S Ledesma Dds Inc - NPI 1548302748

Mark Chevy S Ledesma Dds Inc is a Dentist in W Covina, California. Mark Chevy S Ledesma Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Chevy S Ledesma Dds Inc is 1548302748. The last update date is 2014-12-31.

Mark Chevy S Ledesma Dds Inc's current location address is 319 N Azusa Ave, W Covina, California. You can contact this provider via phone number 6269677727 and fax number 6269677887. The mailing address for Mark Chevy S Ledesma Dds Inc is 319 N Azusa Ave, W Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mark Chevy S Ledesma Dds Inc
Address 319 N Azusa Ave, W Covina, California
Phone Number 6269677727
Fax Number 6269677887
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST PR
Authorized Official Name Ledesma S Mark Chevy
Credentials DDS
Telephone Number 6269677727

NPI Number Detail

NPI Number 1548302748
Provider Enumeration Date 2007-02-13
Last Updated Date 2014-12-31

Provider Mailing Address Detail

Address 319 N Azusa Ave
City W Covina
State California (CA)
Post Code 91791
Phone Number 6269677727
Fax Number 6269677887

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 44006
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G9228801 CA DENTICAL

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FAQs about Mark Chevy S Ledesma Dds Inc

What is the unique identifier code issued to Mark Chevy S Ledesma Dds Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Chevy S Ledesma Dds Inc has been assigned the NPI (National Provider Identifier) 1548302748. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Mark Chevy S Ledesma Dds Inc is located?

The Mark Chevy S Ledesma Dds Inc is situated at the following address: 319 N Azusa Ave, W Covina, CA, 91791.

What is Mark Chevy S Ledesma Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Chevy S Ledesma Dds Inc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did Mark Chevy S Ledesma Dds Inc receive its 1548302748 assignment from the Centers for Medicare & Medicaid Services?

The Mark Chevy S Ledesma Dds Inc was assigned its 1548302748 on 2007-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Mark Chevy S Ledesma Dds Inc most recently updated or refreshed?

The details pertaining to the Mark Chevy S Ledesma Dds Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-31.

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