Dr. a. Leonov DDS, a Professional Dental Corporation
Organization Active NPI General Practice Dentistry · N. Hollywood, CA
NPI 1700034097 · NPPES record last updated Aug 29, 2008
Key facts
- NPI
- 1700034097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 36127 (CA)
- Legal business name
- DR. A. LEONOV DDS, A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 13112 Sherman Way
N. Hollywood, CA 91605 - Phone
- (818) 982-6162
- Fax
- (818) 982-6214
- NPI assigned
- Aug 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Alexander Leonov, D.D.S
- Title
- Owner
- Phone
- (818) 982-6162
Practitioners 2
-
Alexander Leonov, D.D.S
-
Nancy Pashayan, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 36127 | CA | Yes |
Addresses
Primary practice location
13112 Sherman Way
N. Hollywood, CA 91605
Mailing address
13112 Sherman Way
N. Hollywood, CA 91605
Phone (818) 982-6162
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All providers in N. Hollywood, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2008. 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.