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Individual

DR. LEONARD S BERNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4035 MORSAY DR, ROCKFORD, IL 61107-4871
(815) 398-1376
(815) 398-6399
Mailing address
4035 MORSAY DR, ROCKFORD, IL 61107-4871
(815) 398-1376
(815) 398-6399

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19-16231
IL

Other

Enumeration date
02/05/2007
Last updated
07/08/2007
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