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Organization
LEON D. ROISMAN, D.M.D., INC.
Active
Organization
LEON D. ROISMAN, D.M.D., INC.
Active
Other names
Dental Plus - A Dental Group of Leon D. Roisman, D.M.D., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON D. ROISMAN D.M.D. (CHIEF EXECUTIVE OFFICER)
(626) 432-4242
Entity
Organization
Contact information
Practice address
310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3540
(626) 795-6855
(626) 432-4260
Mailing address
310 S LAKE AVE, LOWER LEVEL, PASADENA, CA 91101-3540
(626) 795-6855
(626) 432-4260
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B19960-01
DENTICAL
CA
Enumeration date
02/06/2007
Last updated
09/11/2025
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