Individual
LETICIA MARIA CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-5050
Mailing address
233 M L K JR DR SE # 233, ATLANTA, GA 30312
(832) 275-6083
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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