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Organization
DE LEON DENTISTRY GENERAL & COSMESTIC
Active
Organization
DE LEON DENTISTRY GENERAL & COSMESTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA P DE LEON (D.D.S (DENTIST))
(949) 631-1000
Entity
Organization
Contact information
Practice address
1942 HARBOR BLVD., COSTA MESA, CA 92627
(949) 631-1000
(949) 631-0350
Mailing address
1942 HARBOR BLVD., COSTA MESA, CA 92627
(949) 631-1000
(949) 631-0350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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