Individual
DR. LEONARD LEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
650 W DUARTE RD, SUITE # 300, ARCADIA, CA 91007-7617
(626) 821-9633
(626) 821-9697
Mailing address
650 W DUARTE RD, SUITE # 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
DENTI-CAL PROVIDER ID
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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