Individual
DR. LEONID GEFON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-5600
Mailing address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02494500
NJ
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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