Laura Leon D.d.s., Inc. | |
314 W. Ball Rd. Anaheim CA 92805 | |
(714) 774-4443 | |
(714) 563-8276 |
Full Name | Laura Leon D.d.s., Inc. |
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Speciality | Dentist - General Practice |
Location | 314 W. Ball Rd., Anaheim, California |
Authorized Official Name and Position | Laura Leon (DENTIST) |
Authorized Official Contact | 7147744443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laura Leon D.d.s., Inc. 314 W. Ball Rd. Anaheim CA 92805 Ph: (714) 774-4443 | Laura Leon D.d.s., Inc. 314 W. Ball Rd. Anaheim CA 92805 Ph: (714) 774-4443 |
NPI Number | 1063660868 |
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Provider Enumeration Date | 09/04/2008 |
Last Update Date | 09/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063660868 | NPI | - | NPPES |
1114925690 | Other | CA | PREVIOUS NPI FOR SOLE PROPRIETOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 45905 (California) | Primary |
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