Individual
LEONARDO SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6336 FOREST HILL BLVD, GREENACRES, FL 33415-6104
(561) 642-1177
(561) 642-1143
Mailing address
3026 CAROL AVE, LAKE WORTH, FL 33461-2018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024543800
—
FL
Enumeration date
08/07/2017
Last updated
05/09/2018
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