Organization
DR. LEONARD L. RADNOR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD L RADNOR DMD (DR./OWNER)
(724) 941-3570
Entity
Organization
Contact information
Practice address
157 WATERDAM RD, SUITE 140, MC MURRAY, PA 15317-2573
(724) 942-3570
(724) 941-2988
Mailing address
157 WATERDAM RD, SUITE 140, MC MURRAY, PA 15317-2573
(724) 941-3570
(724) 941-2988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS027734L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
734382
UNITED CONCORDIA PROVIDER
PA
Enumeration date
09/24/2007
Last updated
09/24/2007
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