Provider Demographics
NPI:1033401922
Name:LEONG & OWYANG DENTAL CORPORATION
Entity Type:Organization
Organization Name:LEONG & OWYANG DENTAL CORPORATION
Other - Org Name:ROSEWOOD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSON
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-251-9494
Mailing Address - Street 1:4233 ROSEWOOD DR STE 11
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-2956
Mailing Address - Country:US
Mailing Address - Phone:925-251-9494
Mailing Address - Fax:
Practice Address - Street 1:4233 ROSEWOOD DR STE 11
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2956
Practice Address - Country:US
Practice Address - Phone:925-251-9494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental