Individual
DR. LEO RICHARD MAKOHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 MAIN ST, PEPPERELL, MA 01463-0274
(978) 433-6344
Mailing address
PO BOX 274, 11 MAIN ST, PEPPERELL, MA 01463-0274
(978) 433-6344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12326
MA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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