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Organization
LAURA LEON D.D.S., INC.
Active
Organization
LAURA LEON D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEON D.D.S. (DENTIST)
(714) 774-4443
Entity
Organization
Contact information
Practice address
314 W. BALL RD., ANAHEIM, CA 92805
(714) 774-4443
(714) 563-8276
Mailing address
314 W. BALL RD., ANAHEIM, CA 92805
(714) 774-4443
(714) 563-8276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114925690
PREVIOUS NPI FOR SOLE PROPRIETOR
CA
Enumeration date
09/04/2008
Last updated
09/04/2008
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