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Individual

LEONARD VAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2454 WINGFIELD HILLS RD STE 100, SPARKS, NV 89436-7202
(323) 892-1832
Mailing address
2454 WINGFIELD HILLS RD STE 100, SPARKS, NV 89436-7202
(323) 892-1832

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8076
NV

Other

Enumeration date
07/12/2024
Last updated
07/12/2024
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