Individual
DR. LEA DANIELLE SAN LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
366 W LAKE MEAD PKWY, HENDERSON, NV 89015-7286
(702) 464-3090
Mailing address
366 W LAKE MEAD PKWY, HENDERSON, NV 89015-7286
(702) 464-3090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7844
NV
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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