Provider Demographics
NPI:1740398171
Name:LEUNG, DENNIS C (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:C
Last Name:LEUNG
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 1:8833 RESEDA BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4043
Mailing Address - Country:US
Mailing Address - Phone:818-998-0008
Mailing Address - Fax:818-998-0008
Practice Address - Street 1:8833 RESEDA BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4043
Practice Address - Country:US
Practice Address - Phone:818-998-0008
Practice Address - Fax:818-998-0008
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB390321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice