| Leeco Dental Llc | |
|
1 Blanchard Rd Marlton NJ 08053-2918 | |
| (856) 983-1133 | |
| (856) 985-7761 |
| Full Name | Leeco Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Blanchard Rd, Marlton, New Jersey |
| Authorized Official Name and Position | James M Wiener (OWNER) |
| Authorized Official Contact | 8569831133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leeco Dental Llc 1 Blanchard Rd Marlton NJ 08053-2918 Ph: (856) 983-1133 | Leeco Dental Llc 1 Blanchard Rd Marlton NJ 08053-2918 Ph: (856) 983-1133 |
| NPI Number | 1164453379 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164453379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01493203 (New Jersey) | Primary |
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