Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. ENRIQUE TUESTA
Active
Individual
DR. ENRIQUE TUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027390
IL
122300000X
Dentist
Primary
58183
CA
Other
Enumeration date
04/02/2008
Last updated
10/24/2016
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