# LUIS FERNANDO MISSURA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770899205
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10235 | CO | — |
| 1223E0200X | Endodontics | 61501 | KS | Yes |
| 1223E0200X | Endodontics | DEN.00010235 | CO | — |

## Other

- **Enumeration date:** 08/21/2010
- **Last updated:** 07/05/2019