Organization
LEONARD LEM, M.D., D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD LEM (ORAL AND MAXILLOFACIAL SURGEON)
(626) 821-9633
Entity
Organization
Contact information
Practice address
650 W DUARTE RD, #300, ARCADIA, CA 91007-7617
(626) 821-9633
(626) 821-9697
Mailing address
650 W DUARTE RD, #300, ARCADIA, CA 91007-7617
(626) 821-9633
(626) 821-9697
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
35519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3551901
STATE LICENSE NUMBER
CA
Enumeration date
06/25/2007
Last updated
07/23/2007
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