DR. Adam Richard Van Leeuwen, D.D.S.
NPI #1003016536 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003016536
- Entity Type
- Individual
- Name
- DR. Adam Richard Van Leeuwen, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Jul 23, 2007
Practice Location
- Address
- 6936 SOUTH 2475 EAST
- Address 2
- 201
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121-5999
- Phone
- (801) 943-1612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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