Dr. A. Leonov Dds, A Professional Dental Corporation | |
13112 Sherman Way N. Hollywood CA 91605 | |
(818) 982-6162 | |
(818) 982-6214 |
Full Name | Dr. A. Leonov Dds, A Professional Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 13112 Sherman Way, N. Hollywood, California |
Authorized Official Name and Position | Alexander Leonov (OWNER) |
Authorized Official Contact | 8189826162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. A. Leonov Dds, A Professional Dental Corporation 13112 Sherman Way N. Hollywood CA 91605 Ph: (818) 982-6162 | Dr. A. Leonov Dds, A Professional Dental Corporation 13112 Sherman Way N. Hollywood CA 91605 Ph: (818) 982-6162 |
NPI Number | 1700034097 |
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Provider Enumeration Date | 08/29/2008 |
Last Update Date | 08/29/2008 |
Identifier | Type | State | Issuer |
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1700034097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 36127 (California) | Primary |