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Individual

DR. DAVID LAWRENCE LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3015 HIGHWAY 29 S STE 4176, ALEXANDRIA, MN 56308-4540
(320) 763-5052
(320) 763-5053
Mailing address
6600 FRANCE AVE S STE 415, EDINA, MN 55435-1817
(952) 224-9771
(952) 224-9790

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9921
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207320000
MN
Enumeration date
09/19/2008
Last updated
09/19/2008
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