Organization
CHANHASSEN FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEONARD DDS (OWNER)
(952) 443-3368
Entity
Organization
Contact information
Practice address
8116 MALLORY CT, CHANHASSEN, MN 55317-8586
(953) 443-3368
(952) 443-3330
Mailing address
8116 MALLORY CT, CHANHASSEN, MN 55317-8586
(953) 443-3368
(952) 443-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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