Leoni Dental Corporation | |
31897 Del Obispo St Ste 100 San Juan Capistrano CA 92675-3207 | |
(760) 500-6197 | |
Not Available |
Full Name | Leoni Dental Corporation |
---|---|
Speciality | Dentist - General Practice |
Location | 31897 Del Obispo St Ste 100, San Juan Capistrano, California |
Authorized Official Name and Position | Randal Leoni (DMD) |
Authorized Official Contact | 7605006197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Leoni Dental Corporation 1955 Cherrywood St Vista CA 92081-7360 Ph: (760) 500-6197 | Leoni Dental Corporation 31897 Del Obispo St Ste 100 San Juan Capistrano CA 92675-3207 Ph: (760) 500-6197 |
NPI Number | 1912778960 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912778960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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