Dr Mark Chevy S Ledesma, DDS is a
Dentist based in W Covina, California. Dr Mark Chevy S Ledesma is licensed to practice in California (license number 44006) and his current practice location is
319 N Azusa Ave.,, W Covina, California. He can be reached at his office (for appointments etc.) via phone at
(626) 967-7727.
NPI number for Dr Mark Chevy S Ledesma is 1710245782 and his current mailing address is 319 N Azusa Ave, West Covina, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710245782.
Healthcare Provider's Profile
| Full Name | Dr Mark Chevy S Ledesma |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 319 N Azusa Ave.,, W Covina, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710245782
- Provider Enumeration Date: 04/27/2012
- Last Update Date: 04/27/2012
Medical Identifiers
Medical identifiers for Dr Mark Chevy S Ledesma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710245782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 44006 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Chevy S Ledesma is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Chevy S Ledesma, DDS
319 N Azusa Ave,
West Covina, CA 91791-1346
Ph: (626) 967-7727 | Dr Mark Chevy S Ledesma, DDS
319 N Azusa Ave.,,
W Covina, CA 91791
Ph: (626) 967-7727 |
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