Dr. Martha Liliana Bedoya Leal, DDS
Dentist in Ave Maria, FL. Individual provider (NPI-1).
NPI number1982339867
StatusActive
Last updated in NPPESFeb 7, 2025
Details
- NPI
- 1982339867
- Entity type
- Individual (NPI-1)
- Name
- Dr. Martha Liliana Bedoya Leal
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2022
- Certification date
- Feb 7, 2025
- Last updated
- Feb 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN29499 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5064 Annunciation CirAve Maria, FL 34142-9671
Phone 239-919-6930
Mailing address
9242 Shadow Oak LnNaples, FL 34120-5270
Phone 239-777-2804
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