| Leonard M Chance | |
|
104 W 3rd St Port Angeles WA 98362-2825 | |
| (360) 452-9744 | |
| (360) 452-5861 |
| Full Name | Leonard M Chance |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 104 W 3rd St, Port Angeles, Washington |
| Authorized Official Name and Position | Leonard M Chance (OWNER) |
| Authorized Official Contact | 3604529744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard M Chance 104 W 3rd St Port Angeles WA 98362-2825 Ph: (360) 452-9744 | Leonard M Chance 104 W 3rd St Port Angeles WA 98362-2825 Ph: (360) 452-9744 |
| NPI Number | 1023261641 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023261641 | NPI | - | NPPES |
| 50200-03 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4909 (Washington) | Primary |
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