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Organization
DR. A. LEONOV DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization
DR. A. LEONOV DDS, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LEONOV D.D.S (OWNER)
(818) 982-6162
Entity
Organization
Contact information
Practice address
13112 SHERMAN WAY, N. HOLLYWOOD, CA 91605
(818) 982-6162
(818) 982-6214
Mailing address
13112 SHERMAN WAY, N. HOLLYWOOD, CA 91605
(818) 982-6162
(818) 982-6214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36127
CA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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