Individual
DR. LEON CARL DE JONGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2111 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-4166
(941) 792-5435
Mailing address
2111 59TH STREET WEST, BRADENTON, FL 34209
(941) 792-4166
(941) 792-5435
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5742
FL
Other
Enumeration date
07/07/2006
Last updated
01/18/2017
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