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Dr. Enrique Lacuesta, DDS
Periodontist in Gulfport, Mississippi
NPI 1871656686

Enrique Lacuesta is a Periodontist based in Gulfport, MS and is specialized in Periodontics. Enrique Lacuesta practices in Gulfport, MS and has the professional credentials of DDS. The NPI Number for Enrique Lacuesta is 1871656686 and holds a License No. 1758-77 (Mississippi).

The current practice location address for Enrique Lacuesta is 22-29Th Street, Gulfport, MS and can be reached out via phone at 228-868-9615 and via fax at 228-868-9677.

Location: 22-29Th Street, Gulfport, MS, 39507
person
Provider Profile Details
NPI Number
1871656686
Provider Name
Enrique Lacuesta
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
22-29Th Street, Gulfport, MS, 39507
Phone Number
228-868-9615
Fax Number
228-868-9677
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
755128 01 MS UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
22-29Th Street
City
State
Zip
39507
Phone Number
228-868-9615
Fax Number
228-868-9677
person
Provider Business Mailing Address Details
Address
22-29Th Street
City
State
Zip
39507
Phone Number
228-868-9615
Fax Number
228-868-9677
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
1758-77 (Mississippi)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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