Organization
LEEBELLA DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIMENA VELASQUEZ-PIERCE (OWNER/DENTIST)
(239) 691-8380
Entity
Organization
Contact information
Practice address
6844 INTERNATIONAL CENTER BLVD STE A, FORT MYERS, FL 33912-7154
(239) 691-8380
Mailing address
6844 INTERNATIONAL CENTER BLVD STE A, FORT MYERS, FL 33912-7154
(239) 691-8380
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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