# AMANDA LEONG DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467101477
- **Authorized official:** DR. AMANDA LEONG DDS (DENTIST)
- **Authorized official phone:** (510) 846-0572

## Contact information

- **Practice address:** 2215 SANTA CLARA AVE, ALAMEDA, CA 94501-4416
- **Practice address phone:** (510) 523-7600
- **Practice address fax:** (510) 865-1179
- **Mailing address:** 2215 SANTA CLARA AVE, ALAMEDA, CA 94501-4416
- **Mailing address phone:** (510) 523-7600
- **Mailing address fax:** (510) 865-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 09/18/2024