Dr. Elliot Ivan Leon, DDS
Dentist in Florissant, MO. Individual provider (NPI-1).
NPI number1063594331
StatusActive
Last updated in NPPESJul 10, 2008
Details
- NPI
- 1063594331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elliot Ivan Leon
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Jul 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 012522 | MO | Yes |
| 122300000X | Dentist | 12522 | MO |
Practice location
1005 Dunn RdFlorissant, MO 63031-8205
Phone 314-838-9454 · Fax 314-838-9414
Mailing address
1005 Dunn RdFlorissant, MO 63031-8205
Phone 314-838-9454 · Fax 314-838-9414
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All 30 Dentist providers in Florissant · All 2,275 providers in Florissant
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