Organization
ODONTOTECH, PC
Active
Other names
Leon Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR LEON DDS, MSD (ORTHODONTIST)
(651) 433-7200
Entity
Organization
Contact information
Practice address
5870 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1620
(651) 433-7200
(651) 760-4333
Mailing address
5870 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1620
(651) 433-7200
(651) 760-4333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/02/2019
Last updated
05/13/2019
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