Provider Demographics
NPI:1376536755
Name:LEAL, FRANCISCO RENE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:RENE
Last Name:LEAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 TOLL HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-4628
Mailing Address - Country:US
Mailing Address - Phone:703-503-1988
Mailing Address - Fax:
Practice Address - Street 1:1016 BUCHANAN ST SE
Practice Address - Street 2:BRANCH HEALTH CLINIC, WASHINGTON NAVY YARD
Practice Address - City:WASHINGTON NAVY YARD
Practice Address - State:DC
Practice Address - Zip Code:20374-5020
Practice Address - Country:US
Practice Address - Phone:202-433-2480
Practice Address - Fax:202-433-0502
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice