Individual
DR. LEONARD MAIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6450 W 63RD ST, CHICAGO, IL 60638
(773) 586-8525
(773) 586-8520
Mailing address
6450 W 63RD ST, CHICAGO, IL 60638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-020662
IL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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