Individual
DR. DANIEL CHARLES LEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 BELLEVUE AVE, UPPER MONCLAIR, NJ 07043
(973) 744-5466
Mailing address
185 LIBERTY ST APT A5, APT 5A, LITTLE FERRY, NJ 07643-1770
(973) 953-2336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI021815
NJ
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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