DR. Leida M Portela, DDS

NPI #1295868818 in Vestal, New York

Provider Information

NPI Number
1295868818
Entity Type
Individual
Name
DR. Leida M Portela, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
105 ANNETTA ST
City
Vestal
ZIP Code
13850-2301
Phone
(607) 798-7188

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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