Leonov, Alexander

Leonov, Alexander is an sole proprietor health care provider with primary practice located at 13112 Sherman Way , North Hollywood CA 91605-4645. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Leonov, Alexander can be contacted via phone (818) 982-6162.

Contact Information

Primary practice address
13112 Sherman Way North Hollywood CA 91605-4645
Fax: (818) 982-6214
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36127 California

Profile Details

NPI number 1932192960
LBN Legal business name Leonov, Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Aug 13th, 2013 - about 11 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 1932192960 NPPES
California Other B36127-01 DENTICAL PROVIDER NUMBER

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