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Individual
LUIS ALMEIDA
Active
Individual
LUIS ALMEIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17906-875
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17906-875
WI
Other
Enumeration date
01/09/2014
Last updated
12/12/2014
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