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Individual

LEONID BANCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6708 ALBEMARLE RD, CHARLOTTE, NC 28212-3856
(704) 537-1990
Mailing address
9400 S EASTERN AVE, 101, LAS VEGAS, NV 89123-7936
(702) 456-0009
(702) 458-0009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10898
NC

Other

Enumeration date
10/12/2006
Last updated
09/18/2018
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