Mrs. Marta Revilla-Leon
Prosthodontist
3302 Gaston Avenue, College Of Dentistry, Texas A&m Uni Room 713
Dallas
, Texas 75246
Mrs. Marta Revilla-Leon
Prosthodontist
3302 Gaston Avenue, College Of Dentistry, Texas A&m Uni Room 713
Dallas
, Texas 75246
(214) 828-8408
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Mrs. Marta Revilla-Leon
- 3302 Gaston Avenue, College Dentistry, Texas A&m Univer Room 713
- Dallas, TX
- Zip : 75246
- Phone : (214) 828-8408
Second Address
- Mrs. Marta Revilla-Leon
- 3302 Gaston Avenue, College Of Dentistry, Texas A&m Uni Room 713
- Dallas, TX
- Zip : 75246
- Phone : (214) 828-8408
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FAQs
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Is Mrs. Marta Revilla-Leon a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 34706 | TX |
National Provider Identifier
| NPI | 1033683701 |
|---|---|
| Provider Name | Mrs. Marta Revilla-Leon |
| First Address | Dallas, TX 75246 |
| Second Address | Dallas, TX 75246 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2019 |
| Last Update Date | 16/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.