Revilla-Leon, Marta

Revilla-Leon, Marta is an individual health care provider with primary practice located at 3302 Gaston Avenue, College Of Dentistry, Texas A&M Uni Room 713, Dallas TX 75246. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Revilla-Leon, Marta can be contacted via phone (214) 828-8408.

Contact Information

Primary practice address
3302 Gaston Avenue, College Of Dentistry, Texas A&M Uni Room 713 Dallas TX 75246
Phone: (214) 828-8408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 34706 Texas

Profile Details

NPI number 1033683701
LBN Legal business name Revilla-Leon, Marta
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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