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NPI Code Detail

MEDICARE: LEONID KHARIN DMD

MEDICARE:   LEONID  KHARIN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN1855658MA

General Provider Information

NPI Number : 1205116514
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONID KHARIN DMD
Provider Business Mailing Address
First Line : 104 PHILIP FARM RD
Second Line :
City : CONCORD
State : MA
Zip : 01742-2712
Country : US
Telephone Number : 617-953-9358
Fax Number :
Provider Business Practice Location Address
First Line : 19 BARNARD ST
Second Line :
City : ANDOVER
State : MA
Zip : 01810-3601
Country : US
Telephone Number : 978-475-5333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2011
Last Update Date : 11/09/2023

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Directions to “ LEONID KHARIN DMD” Practice Location

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