Organization
DR LEONARD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CARLO LEONARD DMD (PRESIDENT DENTIST)
(215) 567-0521
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, PHILADELPHIA, PA 19102-2944
(215) 567-0521
(215) 567-0475
Mailing address
1601 WALNUT ST, PHILADELPHIA, PA 19102-2944
(215) 567-0521
(215) 567-0475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS017538L
PA
1223G0001X
General Practice Dentistry
Primary
DS018925L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139210
UNITED CONCORDIA
PA
Enumeration date
03/06/2007
Last updated
08/22/2020
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