Organization Name: | LEONG & OWYANG DENTAL CORPORATION |
NPI Number: | 1033401922 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSON K LEONG (PRESIDENT/OWNER) |
Mailing Address: | 4233 Rosewood Dr Ste 11 Pleasanton |
State: | CA US |
Postal Code: | 945882956 |
Phone Number: | 9252519494 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |