A Professional Dental Corporation Alexander Leonov DDS
Organization Active NPI Dental Clinic/Center · Burbank, CA
NPI 1194054866 · NPPES record last updated Dec 9, 2009
Key facts
- NPI
- 1194054866
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 36127 (CA)
- Legal business name
- A PROFESSIONAL DENTAL CORPORATION ALEXANDER LEONOV DDS
- Practice address
- 928 N San Fernando Blvd
E
Burbank, CA 91504-4350 - Phone
- (818) 841-8607
- Fax
- (818) 841-8414
- NPI assigned
- Dec 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Alexander Leonov, DDS
- Title
- Owner
- Phone
- (818) 841-8607
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- A Professional Dental Corporation Alexander Leonov DDS
Locations
928 N San Fernando Blvd
Ste E
Burbank, CA 91504
Phone (818) 841-8607
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 36127 | CA | Yes |
Addresses
Primary practice location
928 N San Fernando Blvd
E
Burbank, CA 91504-4350
Mailing address
928 N San Fernando Blvd
E
Burbank, CA 91504
Phone (818) 841-8607
Other names
- BURBANK VILLAGE DENTISTRY
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All providers in Burbank, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.