DR. Lea Danielle San Luis, DMD

NPI #1063190411 in Henderson, Nevada

Provider Information

NPI Number: 1063190411
Entity Type: Individual
Name: DR. Lea Danielle San Luis, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 366 W LAKE MEAD PKWY
City: Henderson
State: Nevada
ZIP Code: 89015-7286
Phone: (702) 464-3090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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