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Organization
MORRIS DE LEON DDS INC
Active
Organization
MORRIS DE LEON DDS INC
Active
Other names
American Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS DE LEON DDS (PRESIDENT)
(626) 488-0542
Entity
Organization
Contact information
Practice address
14311 RAMONA BLVD, BALDWIN PARK, CA 91706-3242
(626) 960-9440
(626) 960-5772
Mailing address
14311 RAMONA BLVD, BALDWIN PARK, CA 91706-3242
(626) 960-9440
(626) 960-5772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164713806
NPI INDIVIDUAL
—
01
—
60332
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
10/13/2016
Last updated
10/15/2016
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