Goldstein, Leonard Mark

Goldstein, Leonard Mark is an sole proprietor health care provider with primary practice located at 2901 W Lehigh Ave , Philadelphia PA 19132-1810. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Goldstein, Leonard Mark can be contacted via phone (215) 228-8782.

Contact Information

Primary practice address
2901 W Lehigh Ave Philadelphia PA 19132-1810
Fax: (215) 227-5803
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS021670L Pennsylvania

Profile Details

NPI number 1639167646
LBN Legal business name Goldstein, Leonard Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jul 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639167646 NPPES
Pennsylvania Other DS021670L DENTAL LICENSE NUMBER

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