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Individual

DR. LEEANN WANDA KARDOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
531 ENCINITAS BLVD STE 101, ENCINITAS, CA 92024-3782
(760) 944-0048
(623) 878-1024
Mailing address
531 ENCINITAS BLVD STE 101, ENCINITAS, CA 92024-3782
(760) 944-0048
(760) 944-1432

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
58396
CA
1223E0200X
Endodontics
8774
AZ
1223G0001X
General Practice Dentistry
2901019189
MI

Other

Enumeration date
02/19/2006
Last updated
12/29/2021
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