DR. Lissette De La Rua, D.D.S is a general practice dentist in Miami, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Lissette De La Rua, D.D.S NPI is 1619297892. 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:
13715 SW 66TH ST
APT A102
MIAMI, FL
ZIP 33183-289
Phone: (305) 502-9775
The NPI 1619297892 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/10/2010 and was last updated on 6/10/2010.