Provider Demographics
NPI:1326446592
Name:CESAR LEON
Entity Type:Organization
Organization Name:CESAR LEON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:656-251-7556
Mailing Address - Street 1:AV. EJERCITO NACIONAL #5230
Mailing Address - Street 2:SUITE 41 & 42
Mailing Address - City:JUAREZ
Mailing Address - State:CHIHUAHUA
Mailing Address - Zip Code:32390
Mailing Address - Country:MX
Mailing Address - Phone:656-251-7556
Mailing Address - Fax:
Practice Address - Street 1:AV. EJERCITO NACIONAL #5230
Practice Address - Street 2:SUITE 41 & 42
Practice Address - City:JUAREZ
Practice Address - State:CHIHUAHUA
Practice Address - Zip Code:32390
Practice Address - Country:MX
Practice Address - Phone:656-251-7556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ7718900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty