Yessica Escutia Ponce De Leon
Dental Public Health
2700 Baker St
Muskegon
, Michigan 49444
Yessica Escutia Ponce De Leon
Dental Public Health
2700 Baker St
Muskegon
, Michigan 49444
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Yessica Escutia Ponce De Leon
- 2700 Baker St
- Muskegon Heights, MI
- Zip : 49444-2157
- Phone :
Second Address
- Yessica Escutia Ponce De Leon
- 2700 Baker St
- Muskegon, MI
- Zip : 49444
- Fax : (231) 737-9012
- Phone : (231) 737-8603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 2901022334 | MI |
National Provider Identifier
| NPI | 1134641277 |
|---|---|
| Provider Name | Yessica Escutia Ponce De Leon |
| First Address | Muskegon Heights, MI 49444-2157 |
| Second Address | Muskegon, MI 49444 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2017 |
| Last Update Date | 11/07/2017 |
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.