Individual
ROBERT ALFONSO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
511 SW 10TH AVE, SUITE 804, PORTLAND, OR 97205-2732
(503) 243-2505
Mailing address
511 SW 10TH AVE, SUITE 804, PORTLAND, OR 97205-2732
(503) 243-2505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6087
OR
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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