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Individual

LEONARD M CHANCE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
104 W 3RD ST, PORT ANGELES, WA 98362-2825
(360) 452-9744
(360) 452-5861
Mailing address
622 STRAIT VIEW DR, PORT ANGELES, WA 98362-8473
(360) 457-4366
(360) 457-1044

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004909
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50200-03
WA
Enumeration date
11/16/2006
Last updated
07/09/2007
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