Individual
DR. LEONARD FREDRIC TAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11905 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 969-4400
(215) 969-4405
Mailing address
11905 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 969-4400
(215) 969-4405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-031087-L
PA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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