Leonard Carl Medura JR. D.M.D.

NPI 1083617690 - Dentist - 1223G0001X

NPI Details
NPI 1083617690
Gender Male
Enumeration Date 05/27/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
RT. 309, TUNKHANNOCK HWY.
DALLAS PA, 18612, US
Phone (570) 675-1138
Fax (570) 675-2152
Business Location
RT. 309, TUNKHANNOCK HWY.
DALLAS PA, 18612, US
Phone (570) 675-1138
Fax (570) 675-2152
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS030704L
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According to our database, Dr. Leonard Carl Medura JR. D.M.D. NPI is 1083617690, taxonomy code is 1223G0001X and license number is DS030704L, license state is located at Pennsylvania. Leonard Carl Medura JR. D.M.D. physically located at Rt. 309, Tunkhannock Hwy., Dallas PA, 18612. NPI Number Leonard Carl Medura JR. D.M.D. has the Individual type.

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1083617690 NPI number is provided on an as is basis without warranty of any kind. 1083617690 is maintained by the National Plan & Provider Enumeration System. The contents of Leonard Carl Medura JR. D.M.D. are for informational purposes only.