A Professional Dental Corporation Alexander Leonov Dds

NPI 1194054866 - Clinic/Center - 261QD0000X

NPI Details
NPI 1194054866
Enumeration Date 12/09/2009
Last Updated 12/09/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ALEXANDER ALEXANDER
Position OWNER
Phone (818) 841-8607
Fax (818) 841-8414
Practice Location
928 N SAN FERNANDO BLVD
E
BURBANK CA, 91504-4350, US
Phone (818) 841-8607
Fax (818) 841-8414
Business Location
928 N SAN FERNANDO BLVD
E
BURBANK CA, 91504, US
Phone (818) 841-8607
Fax (818) 841-8414
Toxanomy
Taxonomy Code 261QD0000X
License State California
License Number 36127
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According to our database, A Professional Dental Corporation Alexander Leonov Dds NPI is 1194054866, taxonomy code is 261QD0000X and license number is 36127, license state is located at California. A Professional Dental Corporation Alexander Leonov Dds physically located at 928 N San Fernando Blvd, Burbank CA, 91504-4350. NPI Number 1033115704 has the healthcare provider type.

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1194054866 NPI number is provided on an as is basis without warranty of any kind. 1194054866 is maintained by the National Plan & Provider Enumeration System. The contents of A Professional Dental Corporation Alexander Leonov Dds are for informational purposes only.