Provider Demographics
NPI:1427230937
Name:SAROSI, LEONARD W (DDS)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:W
Last Name:SAROSI
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 1:65 N FROST DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48638-7151
Mailing Address - Country:US
Mailing Address - Phone:989-799-6220
Mailing Address - Fax:989-790-1520
Practice Address - Street 1:65 N FROST DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48638-7151
Practice Address - Country:US
Practice Address - Phone:989-799-6220
Practice Address - Fax:989-790-1520
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist