Organization
LEO FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD WAN DMD (DENTIST)
(908) 782-6606
Entity
Organization
Contact information
Practice address
8 MAIN ST, FLEMINGTON, NJ 08822-1468
(908) 782-6606
Mailing address
8 MAIN ST, FLEMINGTON, NJ 08822-1468
(908) 782-6606
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02454100
NJ
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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