Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | FL |
NPI | 1316127251 |
---|---|
Provider Name | Mrs. Leticia Ascuntar II |
First Address | Miami, FL 33176-2206 |
Second Address | Miami, FL 33176-2206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 08/11/2007 |