MRS. MARTA REVILLA-LEON DDS MSD NPI 1033683701

NPI Information

MRS. Marta Revilla-leon, DDS, MSD is a prosthodontics dentist in Dallas, TX. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MRS. Marta Revilla-leon, DDS, MSD NPI is 1033683701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3302 GASTON AVENUE, COLLEGE OF DENTISTRY, TEXAS A&M UNI
ROOM 713
DALLAS, TX
ZIP 75246
Phone: (214) 828-8408

The enumeration date for this NPI number is 1/16/2019 and was last updated on 1/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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