Roberto Joel Jauregui Leiva

NPI #1972268571 in Fort Hood, Texas

Provider Information

NPI Number: 1972268571
Entity Type: Individual
Name: Roberto Joel Jauregui Leiva
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Nov 8, 2021
Last Updated: Nov 8, 2021

Practice Location

Address: 36000 DARNALL LOOP STE 1051
City: Fort Hood
State: Texas
ZIP Code: 76544-5095
Phone: (904) 731-6387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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