Individual
DR. MARCELLA BORGMAN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027348
IL
Other
Enumeration date
10/21/2009
Last updated
07/23/2010
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