Organization
LEONARD M CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD M CHANCE JR. DDS PS (OWNER)
(360) 452-9744
Entity
Organization
Contact information
Practice address
104 W 3RD ST, PORT ANGELES, WA 98362-2825
(360) 452-9744
(360) 452-5861
Mailing address
104 W 3RD ST, PORT ANGELES, WA 98362-2825
(360) 452-9744
(360) 452-5861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50200-03
—
WA
Enumeration date
10/28/2008
Last updated
10/28/2008
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