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Organization
RICHARD WILSON LEONG JR DDS PA
Active
Organization
RICHARD WILSON LEONG JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WILSON LEONG DDS (DENTIST)
(321) 723-7255
Entity
Organization
Contact information
Practice address
400 S BABCOCK ST, MELBOURNE, FL 32901-1214
(321) 723-7255
(321) 768-9643
Mailing address
400 S BABCOCK ST, MELBOURNE, FL 32901-1214
(321) 723-7255
(321) 768-9643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
01/15/2020
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