Individual
DR. LEONARD R WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8 MAIN ST, SUITE 6, FLEMINGTON, NJ 08822-1468
(908) 782-6606
Mailing address
8 MAIN ST, SUITE 6, FLEMINGTON, NJ 08822-1468
(908) 782-6606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02454100
NJ
Other
Enumeration date
12/06/2010
Last updated
08/09/2015
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