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1265455356
LEONID GOFMAN
PHILADELPHIA, PA
NPI
1265455356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS028692L)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. LEONID GOFMAN D.D.S.
10890 BUSTLETON AVE SUITE 107
PHILADELPHIA, PA 19116-3313
Phone number: 215-677-9910
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Mailing Address
Dr. LEONID GOFMAN D.D.S.
10890 BUSTLETON AVE SUITE 107
PHILADELPHIA, PA 19116-3313
Phone number:
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