Provider Demographics
NPI:1295950707
Name:SAMAHA, LEONARD GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:GEORGE
Last Name:SAMAHA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:L
Other - Middle Name:GEORGE
Other - Last Name:SAMAHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:23451 MADISON ST
Mailing Address - Street 2:#350
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-373-2829
Mailing Address - Fax:310-373-2971
Practice Address - Street 1:23451 MADISON ST
Practice Address - Street 2:#350
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-373-2829
Practice Address - Fax:310-373-2971
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA17762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist