Provider Demographics
NPI:1417068925
Name:LEYMAN, PAULA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MARIE
Last Name:LEYMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:YORK
Other - Last Name:LEYMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:191 POMONA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-3430
Mailing Address - Country:US
Mailing Address - Phone:562-439-2137
Mailing Address - Fax:562-598-7305
Practice Address - Street 1:191 POMONA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-3430
Practice Address - Country:US
Practice Address - Phone:562-439-2137
Practice Address - Fax:562-434-7090
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA351351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice