Lee R Carrasco MD DDS

NPI 1013946540 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1013946540
Gender Male
Enumeration Date 06/30/2006
Last Updated 04/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 SPRUCE STREET
5 WHITE BUILDING
PHILADELPHIA PA, 19104, US
Phone (215) 662-3580
Fax
Business Location
3400 SPRUCE STREET
5 WHITE BUILDING
PHILADELPHIA PA, 19104, US
Phone (215) 662-3580
Fax
Toxanomy
Taxonomy Code 204E00000X
License State Pennsylvania
License Number DS031585L
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According to our database, Lee R Carrasco MD DDS NPI is 1013946540, taxonomy code is 204E00000X and license number is DS031585L, license state is located at Pennsylvania. Lee R Carrasco MD DDS physically located at 3400 Spruce Street, Philadelphia PA, 19104. NPI Number Lee R Carrasco MD DDS has the Individual type.

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1013946540 NPI number is provided on an as is basis without warranty of any kind. 1013946540 is maintained by the National Plan & Provider Enumeration System. The contents of Lee R Carrasco MD DDS are for informational purposes only.