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Organization
LEONI DENTAL CORPORATION
Active
Organization
LEONI DENTAL CORPORATION
Active
Other names
Coastline Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL LEONI DMD (OWNER DENTIST)
(760) 500-6197
Entity
Organization
Contact information
Practice address
31897 DEL OBISPO ST STE 100, SAN JUAN CAPISTRANO, CA 92675-3207
(760) 500-6197
Mailing address
31897 DEL OBISPO ST STE 100, SAN JUAN CAPISTRANO, CA 92675-3207
(949) 661-2290
(949) 661-8433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
11/13/2024
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