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Individual

DR. RICHARD NEIL LEADERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1284 ELM ST, SUITE 2, W SPRINGFIELD, MA 01089-1847
(413) 736-6185
(413) 731-7116
Mailing address
1284 ELM ST, SUITE 2, WEST SPRINGFIELD, MA 01089-1847
(413) 736-6185
(413) 731-7116

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12421
MA

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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