Provider Demographics
NPI:1205093853
Name:LEUNG, RALPH L (DDS MS)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:L
Last Name:LEUNG
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 W HUNTINGTON DR
Mailing Address - Street 2:#C
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007
Mailing Address - Country:US
Mailing Address - Phone:626-792-6109
Mailing Address - Fax:626-792-6100
Practice Address - Street 1:1235 W HUNTINGTON DR
Practice Address - Street 2:#C
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007
Practice Address - Country:US
Practice Address - Phone:626-792-6109
Practice Address - Fax:626-792-6100
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA258171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice