Individual provider · Type 1 NPI
Marta Revilla-Leon, DDS, MSD
Prosthodontics · Dallas, TX
Practice location
3302 Gaston Avenue, College Of Dentistry, Texas A&m Uni, Room 713
Dallas, TX 75246
Mailing address
3302 Gaston Avenue, College Dentistry, Texas A&m Univer, Room 713
Dallas, TX 75246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 34706 (TX) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1033683701
Marta Revilla-Leon, DDS, MSD's National Provider Identifier is 1033683701, issued on Jan 16, 2019. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Dallas, TX. The record was last updated on Jan 16, 2019.