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Individual

CELINA LIEZL JIMENEZ DELEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3675 S RAINBOW BLVD STE 105, LAS VEGAS, NV 89103-1059
(702) 602-2196
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8179
NV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/03/2025
Last updated
08/19/2025
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