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General NPI Number Information
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NPI Number | 1023143914
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Entity Type | Organization
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Legal Business Name | LEONARD R. ESPINOSA DMD, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1938 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-5322
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Country | US
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Telephone | 562-599-2711
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Fax | 562-599-2671
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Provider Business Mailing Address
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Address Line | PO BOX 3417
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92605-3417
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Country | US
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Telephone | 562-599-2711
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Fax | 562-599-2671
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEONARD REYES ESPINOSA
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Credential | DMD
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Telephone | 562-599-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30547
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License Number State | CA
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