# KRISTEN LEONG, DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Square Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891493961
- **Authorized official:** DR. KRISTEN LEONG DMD (OWNER DENTIST)
- **Authorized official phone:** (267) 294-7915

## Contact information

- **Practice address:** 3901 MARKET ST, PHILADELPHIA, PA 19104-3133
- **Practice address phone:** (215) 662-1030
- **Practice address fax:** (215) 662-1015
- **Mailing address:** 3901 MARKET ST STE 1936, PHILADELPHIA, PA 19104-3192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 02/20/2023