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Individual

MR. JOHN REICHMANN LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1439 STILLWATER AVE STE 7, CHEYENNE, WY 82009-7367
(307) 778-7100
(307) 778-2824
Mailing address
1439 STILLWATER AVE STE 7, CHEYENNE, WY 82009-7367
(307) 778-7100
(307) 778-2824

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1058
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
186727
UNITED CONCORDIA CO
WY
Enumeration date
07/17/2006
Last updated
07/08/2007
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