Leticia Maria Cuellar, DMD
Oral & Maxillofacial Surgery in Western Springs, IL. Individual provider (NPI-1).
NPI number1790366136
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1790366136
- Entity type
- Individual (NPI-1)
- Name
- Leticia Maria Cuellar
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2021
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery | 021.003547 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
800 Hillgrove Ave Ste 202Western Springs, IL 60558-1567
Phone 832-275-6083
Mailing address
233 M L K Jr Dr Se # 233Atlanta, GA 30312
Phone 832-275-6083
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