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Organization
LEON DENTAL CENTER
Active
Organization
LEON DENTAL CENTER
Active
Other names
Dr Martin Leon Dental Office and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MILLIE HERNANDEZ (OFFICE MANAGER)
(954) 442-1884
Entity
Organization
Contact information
Practice address
17525 PINES BLVD, PEMBROKE PINES, FL 33029-1519
(954) 442-1884
(954) 432-3368
Mailing address
17525 PINES BLVD, PEMBROKE PINES, FL 33029-1519
(954) 442-1884
(954) 432-3368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12170
FL
1223G0001X
General Practice Dentistry
DN16579
FL
1223G0001X
General Practice Dentistry
DN19436
FL
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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