Organization
DR. LEONARD GOLDMAN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD JAY GOLDMAN D.D.S. (PRESIDENT)
(301) 622-2700
Entity
Organization
Contact information
Practice address
12510 PROSPERITY DR, SUITE 250, SILVER SPRING, MD 20904-1663
(301) 622-2700
Mailing address
12510 PROSPERITY DR, SUITE 250, SILVER SPRING, MD 20904-1663
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
8392
MD
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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