Individual
DEANNE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 WOODWARD AVE, DOWNERS GROVE, IL 60516-2311
(630) 541-3119
Mailing address
16W765 89TH PL, WILLOWBROOK, IL 60527-6087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.0295958
IL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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