Provider Demographics
NPI:1558450767
Name:PALOMO, LEENA (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:LEENA
Middle Name:
Last Name:PALOMO
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14055 CEDAR RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3337
Mailing Address - Country:US
Mailing Address - Phone:216-371-0220
Mailing Address - Fax:216-371-3763
Practice Address - Street 1:14055 CEDAR RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-3337
Practice Address - Country:US
Practice Address - Phone:216-371-0220
Practice Address - Fax:216-371-3763
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH214581223P0300X
NY0636021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics