Organization
BERNADETTE LEONCIO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS GOMEZ (OFFICE MANAGER)
(562) 315-5054
Entity
Organization
Contact information
Practice address
16315 WHITTIER BLVD, SUITE 105, WHITTIER, CA 90603-2909
(562) 315-5054
Mailing address
16315 WHITTIER BLVD STE 105, WHITTIER, CA 90603-2909
(562) 315-5054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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