ELLIOT IVAN LEON

FLORISSANT, MO
NPI1063594331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  012522)
Additional Taxonomies122300000X Dentist
(Licence: MO  12522)
Enumeration Date2006-10-19
Last Update Date2008-07-10
Business Address
Dr. ELLIOT IVAN LEON DDS
1005 DUNN RD
FLORISSANT, MO 63031-8205
Phone number: 314-838-9454
Mailing Address
Dr. ELLIOT IVAN LEON DDS
1005 DUNN RD
FLORISSANT, MO 63031-8205
Phone number: 314-838-9454
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