Provider Demographics
NPI:1508935354
Name:MARANTO, LEONARD L (DDS)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:L
Last Name:MARANTO
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 1:300 EAST JOPPA ROAD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3004
Mailing Address - Country:US
Mailing Address - Phone:410-823-3373
Mailing Address - Fax:410-823-5276
Practice Address - Street 1:300 EAST JOPPA ROAD
Practice Address - Street 2:SUITE 316
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3004
Practice Address - Country:US
Practice Address - Phone:410-823-3373
Practice Address - Fax:410-823-5276
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
MD040481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice