| Morris De Leon Dds Inc | |
| 
					14311 Ramona Blvd Baldwin Park CA 91706-3242  | |
| (626) 960-9440 | |
| (626) 960-5772 | 
| Full Name | Morris De Leon Dds Inc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 14311 Ramona Blvd, Baldwin Park, California | 
| Authorized Official Name and Position | Morris De Leon (PRESIDENT) | 
| Authorized Official Contact | 6264880542 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Morris De Leon Dds Inc 14311 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 960-9440  | Morris De Leon Dds Inc 14311 Ramona Blvd Baldwin Park CA 91706-3242 Ph: (626) 960-9440  | 
| NPI Number | 1053861070 | 
|---|---|
| Provider Enumeration Date | 10/13/2016 | 
| Last Update Date | 10/15/2016 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053861070 | NPI | - | NPPES | 
| 1164713806 | Other | NPI INDIVIDUAL | |
| 60332 | Other | CA | DENTAL BOARD OF CALIFORNIA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60332 (California) | Primary | 
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