Elliot Ivan Leon DDS

NPI 1063594331 - Dentist - 122300000X

NPI Details
NPI 1063594331
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1005 DUNN RD
FLORISSANT MO, 63031-8205, US
Phone (314) 838-9454
Fax (314) 838-9414
Business Location
1005 DUNN RD
FLORISSANT MO, 63031-8205, US
Phone (314) 838-9454
Fax (314) 838-9414
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number 12522
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According to our database, Dr. Elliot Ivan Leon DDS NPI is 1063594331, taxonomy code is 122300000X and license number is 12522, license state is located at Missouri. Elliot Ivan Leon DDS physically located at 1005 Dunn Rd, Florissant MO, 63031-8205. NPI Number Elliot Ivan Leon DDS has the Individual type.

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1063594331 NPI number is provided on an as is basis without warranty of any kind. 1063594331 is maintained by the National Plan & Provider Enumeration System. The contents of Elliot Ivan Leon DDS are for informational purposes only.