Organization
DR. CARL A-M LEONARD, DDS, PC
Active
Other names
Dental Reconstruction Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL A-M LEONARD DDS (OWNER)
(847) 673-2455
Entity
Organization
Contact information
Practice address
4711 GOLF RD STE 711, SKOKIE, IL 60076-1245
(847) 673-2455
(847) 673-3616
Mailing address
4711 GOLF RD STE 711, SKOKIE, IL 60076-1245
(847) 673-2455
(847) 673-3616
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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