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Individual

ANTHONY LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4160 JOHN R ST STE 7713, DETROIT, MI 48201-2020
(313) 745-7071
Mailing address
4160 JOHN R ST STE 7713, DETROIT, MI 48201-2020
(623) 606-1504

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901602478
MI
390200000X
Student in an Organized Health Care Education/Training Program
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
04/19/2024
Last updated
07/07/2025
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