William Leon Dds Pa

NPI 1043480841 - Dentist - 1223G0001X

NPI Details
NPI 1043480841
Enumeration Date 03/07/2008
Last Updated 03/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name WILLIAM WILLIAM
Position CEO
Phone (763) 537-7057
Fax (763) 535-5038
Practice Location
6209 42ND AVE N
CRYSTAL MN, 55422-1603, US
Phone (763) 537-7057
Fax (763) 535-5038
Business Location
6209 42ND AVE N
CRYSTAL MN, 55422-1603, US
Phone (763) 537-7057
Fax (763) 535-5038
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D12001
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According to our database, William Leon Dds Pa NPI is 1043480841, taxonomy code is 1223G0001X and license number is D12001, license state is located at Minnesota. William Leon Dds Pa physically located at 6209 42nd Ave N, Crystal MN, 55422-1603. NPI Number 1033115704 has the healthcare provider type.

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1043480841 NPI number is provided on an as is basis without warranty of any kind. 1043480841 is maintained by the National Plan & Provider Enumeration System. The contents of William Leon Dds Pa are for informational purposes only.