Individual
LUCRECIA JANE CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 VILLAGE CREEK DR STE 400, PLANO, TX 75093-4457
(214) 480-4112
Mailing address
2975 BLACKBURN ST APT 1719, DALLAS, TX 75204-3491
(215) 239-1724
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38245
TX
Other
Enumeration date
03/29/2022
Last updated
04/21/2022
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