Leoni, Russel Gustaf

Leoni, Russel Gustaf is an individual health care provider with primary practice located at Psc 475 Box 1738, Fpo AP 96350. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leoni, Russel Gustaf can be contacted via phone 0118155137616.

Contact Information

Primary practice address
Psc 475 Box 1738 Fpo AP 96350
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D8885 Oregon

Profile Details

NPI number 1750423281
LBN Legal business name Leoni, Russel Gustaf
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 21st, 2022 - about 2 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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