Individual
LEA PLANZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7815 4TH AVE, BROOKLYN, NY 11209-3701
(718) 748-1507
(718) 748-1507
Mailing address
7815 4TH AVE, BROOKLYN, NY 11209-3701
(718) 748-1507
(718) 748-1507
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
058704-1
NY
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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