| NPI | 1114672342 |
|---|---|
| Former Legal Business Name | LEONCIO N FIERRO, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | LEONCIO NIKOLAY FIERRO Dentist/CEO 408-317-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-04-07 |