National Provider Identifier
Luis Thelmo Mauleon Jr., D.D.S.
Luis Thelmo Mauleon Jr., D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Ithaca, NY and a listed phone number of (607) 272-8118.
Profile Overview
- NPI
- 1558406579
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- February 20, 2007
- Last Updated
- July 08, 2007
Practice Location
- 501 N Cayuga St
- Ithaca, NY 14850-3670
Phone: (607) 272-8118
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1558406579
- Entity Type
- Individual
- Last Name
- Mauleon
- First Name
- Luis
- Middle Name
- Thelmo
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- D.D.S.
- Mailing Street Address
- 501 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3670
- Mailing Country
- US
- Mailing Phone
- (607) 272-8118
- Mailing Fax
- (607) 272-4114
- Practice Street Address
- 501 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3670
- Practice Country
- US
- Practice Phone
- (607) 272-8118
- Practice Fax
- (607) 272-4114
- Enumeration Date
- February 20, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)