Individual
DR. ALEXANDER LEONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
13112 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4645
(818) 982-6162
(818) 982-6214
Mailing address
13112 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4645
(818) 982-6162
(818) 982-6214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B36127-01
DENTICAL PROVIDER NUMBER
CA
Enumeration date
08/24/2005
Last updated
08/13/2013
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