Provider Demographics
NPI:1104984061
Name:DELEON, MARGARITA FELIX (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:FELIX
Last Name:DELEON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12745 SW WALKER RD
Mailing Address - Street 2:STE 400
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1318
Mailing Address - Country:US
Mailing Address - Phone:503-469-8404
Mailing Address - Fax:503-469-9305
Practice Address - Street 1:12745 SW WALKER RD
Practice Address - Street 2:STE 400
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1318
Practice Address - Country:US
Practice Address - Phone:503-469-8404
Practice Address - Fax:503-469-9305
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD74771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice