Provider Demographics
NPI:1497824122
Name:HUFFMAN, LEAHN JANETTE (DDS)
Entity Type:Individual
Prefix:MS
First Name:LEAHN
Middle Name:JANETTE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 HILL RD
Mailing Address - Street 2:STE 3
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947
Mailing Address - Country:US
Mailing Address - Phone:415-897-3411
Mailing Address - Fax:415-897-4821
Practice Address - Street 1:1615 HILL RD
Practice Address - Street 2:STE 3
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947
Practice Address - Country:US
Practice Address - Phone:415-897-3411
Practice Address - Fax:415-897-4821
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43019122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist