Portela, Leida M

Portela, Leida M is an individual health care provider with primary practice located at 105 Annetta St , Vestal NY 13850-2301. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Portela, Leida M can be contacted via phone (607) 798-7188.

Contact Information

Primary practice address
105 Annetta St Vestal NY 13850-2301
Phone: (607) 798-7188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42805 New York

Profile Details

NPI number 1295868818
LBN Legal business name Portela, Leida M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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