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NPI Code Detail

MEDICARE: DR. LILA SEA CENICEROS I D.M.D.

MEDICARE:  DR. LILA SEA CENICEROS I D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry53977CA

General Provider Information

NPI Number : 1770759045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILA SEA CENICEROS I D.M.D.
Provider Business Mailing Address
First Line : 2440 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-2415
Country : US
Telephone Number : 415-285-9900
Fax Number : 415-285-7553
Provider Business Practice Location Address
First Line : 2440 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-2415
Country : US
Telephone Number : 415-285-9900
Fax Number : 415-285-7553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 05/06/2008

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Directions to “ DR. LILA SEA CENICEROS I D.M.D.” Practice Location

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