| Dr. A. Leonov Dds, A Professional Dental Corporation | |
|
13112 Sherman Way N. Hollywood CA 91605 | |
| (818) 982-6162 | |
| (818) 982-6214 |
| Full Name | Dr. A. Leonov Dds, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13112 Sherman Way, N. Hollywood, California |
| Authorized Official Name and Position | Alexander Leonov (OWNER) |
| Authorized Official Contact | 8189826162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. A. Leonov Dds, A Professional Dental Corporation 13112 Sherman Way N. Hollywood CA 91605 Ph: (818) 982-6162 | Dr. A. Leonov Dds, A Professional Dental Corporation 13112 Sherman Way N. Hollywood CA 91605 Ph: (818) 982-6162 |
| NPI Number | 1700034097 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700034097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36127 (California) | Primary |