William Leon Dds Pa | |
6209 42nd Ave N Crystal MN 55422-1603 | |
(763) 537-7057 | |
(763) 535-5038 |
Full Name | William Leon Dds Pa |
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Speciality | Dentist - General Practice |
Location | 6209 42nd Ave N, Crystal, Minnesota |
Authorized Official Name and Position | William Leon (CEO) |
Authorized Official Contact | 7635377057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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William Leon Dds Pa 6209 42nd Ave N Crystal MN 55422-1603 Ph: (763) 537-7057 | William Leon Dds Pa 6209 42nd Ave N Crystal MN 55422-1603 Ph: (763) 537-7057 |
NPI Number | 1043480841 |
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Provider Enumeration Date | 03/07/2008 |
Last Update Date | 03/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043480841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D12001 (Minnesota) | Primary |
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