MRS. Marta Revilla-Leon, DDS, MSD

NPI #1033683701 in Dallas, Texas

Provider Information

NPI Number
1033683701
Entity Type
Individual
Name
MRS. Marta Revilla-Leon, DDS, MSD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Prosthodontics
Credential
DDS, MSD
Enumeration Date
Jan 16, 2019
Last Updated
Jan 16, 2019

Practice Location

Address
3302 GASTON AVENUE, COLLEGE OF DENTISTRY, TEXAS A&M UNI
Address 2
ROOM 713
City
Dallas
State
Texas
ZIP Code
75246
Phone
(214) 828-8408

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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