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Individual
DR. LEONEL VENTON DICKEY
Active
Individual
DR. LEONEL VENTON DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B28538
—
CA
Enumeration date
11/22/2006
Last updated
11/10/2020
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