Individual
DR. CHARLES M. LEO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103 WINDWATCH DR, HAUPPAUGE, NY 11788-3349
(631) 232-0706
Mailing address
103 WINDWATCH DR, HAUPPAUGE, NY 11788-3349
(631) 232-0706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049126
NY
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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