Individual
ANGELICA SANDRA LEONARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8057 BREWERTON RD, CICERO, NY 13039-9585
(315) 698-0040
Mailing address
9100 CLAYTONIA RD, LIVERPOOL, NY 13090-1658
(516) 710-8051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062518
NY
Other
Enumeration date
04/15/2021
Last updated
08/05/2022
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