Provider Demographics
NPI:1235319989
Name:LEON, ARLETTE LEOPANDO (DMD)
Entity Type:Individual
Prefix:
First Name:ARLETTE
Middle Name:LEOPANDO
Last Name:LEON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ARLETTE
Other - Middle Name:ACERO
Other - Last Name:LEOPANDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:P.O.BOX 39470
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-0470
Mailing Address - Country:US
Mailing Address - Phone:818-720-3630
Mailing Address - Fax:
Practice Address - Street 1:3266 LARGA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-2247
Practice Address - Country:US
Practice Address - Phone:818-720-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-10
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist