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General NPI Number Information
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NPI Number | 1265617856
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Entity Type | Organization
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Legal Business Name | M. ALEGRIA L. LEDDA DDS INC.
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 3630 SONOMA BLVD
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City | VALLEJO
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State | CA
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Zip | 94590-2946
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Country | US
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Telephone | 707-643-1987
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Fax | 707-643-2074
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Provider Business Mailing Address
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Address Line | 3630 SONOMA BLVD
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City | VALLEJO
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State | CA
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Zip | 94590-2946
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Country | US
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Telephone | 707-643-1987
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Fax | 707-643-2074
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Authorized Official
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Title or Position | DENTIST
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Name | ALEGRIA L LEDDA
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Credential | DDS
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Telephone | 707-643-1987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 53823
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License Number State | CA
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