Provider Demographics
NPI:1043652225
Name:DE LEON, ANNA LAURENE (DDS)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LAURENE
Last Name:DE LEON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 E TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9762
Mailing Address - Country:US
Mailing Address - Phone:956-380-2222
Mailing Address - Fax:
Practice Address - Street 1:281 E TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9762
Practice Address - Country:US
Practice Address - Phone:956-380-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62688122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist