Organization
NICK LEONE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK LEONE (CORPORATE OFFICER)
(586) 775-7750
Entity
Organization
Contact information
Practice address
28018 HARPER AVE., ST. CLAIR SHORES, MI 48081-1562
(586) 775-7750
Mailing address
28018 HARPER AVE., ST. CLAIR SHORES, MI 48081-1562
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013480
MI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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