Individual
DR. LEONARD MARK GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2901 W LEHIGH AVE, PHILADELPHIA, PA 19132-1810
(215) 228-8782
(215) 227-5803
Mailing address
2901 W LEHIGH AVE, PHILADELPHIA, PA 19132-1810
(215) 228-8782
(215) 227-5803
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021670L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS021670L
DENTAL LICENSE NUMBER
PA
Enumeration date
10/12/2005
Last updated
07/10/2007
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