Provider Demographics
NPI:1639276546
Name:SALINES III, LEONARD P (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:P
Last Name:SALINES III
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 1:2233 WALBERT AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1358
Mailing Address - Country:US
Mailing Address - Phone:610-435-2982
Mailing Address - Fax:610-435-2982
Practice Address - Street 1:2233 WALBERT AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1358
Practice Address - Country:US
Practice Address - Phone:610-435-2982
Practice Address - Fax:610-435-2982
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022842L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice