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Individual

DR. LUIS MANUEL MEZA

Active
Find providers by NPI
Individual

DR. LUIS MANUEL MEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
24639
CA
1223E0200X
Endodontics
24639
CA
1223G0001X
General Practice Dentistry
Primary
24639
CA
1223P0221X
Pediatric Dentistry
24639
CA
1223P0700X
Prosthodontics
24639
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24639
CA

Other

Enumeration date
04/27/2011
Last updated
04/27/2011
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