Provider Demographics
NPI:1568440915
Name:LEONOR, LOUIS E (DDS)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:E
Last Name:LEONOR
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 1:23020 POWER RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3226
Mailing Address - Country:US
Mailing Address - Phone:248-476-0383
Mailing Address - Fax:248-476-1191
Practice Address - Street 1:23020 POWER RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3226
Practice Address - Country:US
Practice Address - Phone:248-476-0383
Practice Address - Fax:248-476-1191
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0148301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice