Individual
DR. LEONARD M ATTISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
700 LAKE AVE, MANCHESTER, NH 03103-2734
(603) 668-0227
Mailing address
167 BYAM RD, NEW BOSTON, NH 03070-3730
(603) 487-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
16888
MA
1223G0001X
General Practice Dentistry
Primary
2206
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003837
—
NH
01
—
520702
UNITED CONCORDIA IDENT.
NH
01
—
XRO024
BCBS MASS
MA
Enumeration date
07/27/2006
Last updated
07/08/2007
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