Organization
A PROFESSIONAL DENTAL CORPORATION ALEXANDER LEONOV DDS
Active
Other names
BURBANK VILLAGE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER LEONOV DDS (OWNER)
(818) 841-8607
Entity
Organization
Contact information
Practice address
928 N SAN FERNANDO BLVD, E, BURBANK, CA 91504-4350
(818) 841-8607
(818) 841-8414
Mailing address
928 N SAN FERNANDO BLVD, E, BURBANK, CA 91504
(818) 841-8607
(818) 841-8414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36127
CA
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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