Individual
IVAN LEANDROS CUEVAS RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3304 GREENWALD WAY N, KISSIMMEE, FL 34741-0768
(407) 520-3595
Mailing address
3304 GREENWALD WAY N, KISSIMMEE, FL 34741-0768
(786) 715-7999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24403
FL
Other
Enumeration date
07/22/2019
Last updated
01/17/2025
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