| Dr. Carl A-m Leonard, Dds, Pc | |
|
4711 Golf Rd Ste 711 Skokie IL 60076-1245 | |
| (847) 673-2455 | |
| (847) 673-3616 |
| Full Name | Dr. Carl A-m Leonard, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4711 Golf Rd Ste 711, Skokie, Illinois |
| Authorized Official Name and Position | Carl A-m Leonard (OWNER) |
| Authorized Official Contact | 8476732455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Carl A-m Leonard, Dds, Pc 4711 Golf Rd Ste 711 Skokie IL 60076-1245 Ph: (847) 673-2455 | Dr. Carl A-m Leonard, Dds, Pc 4711 Golf Rd Ste 711 Skokie IL 60076-1245 Ph: (847) 673-2455 |
| NPI Number | 1104467281 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104467281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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