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Individual
LUIS FERNANDO MISSURA
Active
Individual
LUIS FERNANDO MISSURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10235
CO
1223E0200X
Endodontics
Primary
61501
KS
1223E0200X
Endodontics
DEN.00010235
CO
Other
Enumeration date
08/21/2010
Last updated
07/05/2019
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