Individual
LEONARD FRANK ANDERSON V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 CHRISTOPHER COLUMBUS DR, JERSEY CITY, NJ 07302-5526
(201) 451-6300
Mailing address
115 CHRISTOPHER COLUMBUS DR STE 100, JERSEY CITY, NJ 07302-3551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02984100
NJ
1223G0001X
General Practice Dentistry
DN28096
FL
Other
Enumeration date
06/26/2023
Last updated
08/24/2023
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