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Individual

DR. MARISA LEANDRO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.

Contact information

Practice address
3001 6TH ST, GREAT LAKES, IL 60088-2833
(847) 688-3553
Mailing address
694 N AUBURN LN, LINDENHURST, IL 60046-7875
(847) 356-9523

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
6911
CO

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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