Richard Wilson Leong Jr DDS PA

NPI #1821637638 in Melbourne, Florida

Provider Information

NPI Number: 1821637638
Entity Type: Organization
Organization Name: Richard Wilson Leong Jr DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 26, 2019
Last Updated: Jan 15, 2020

Practice Location

Address: 400 S BABCOCK ST
City: Melbourne
State: Florida
ZIP Code: 32901-1214
Phone: (321) 723-7255

Authorized Official

Name: DR. RICHARD WILSON LEONG, DDS
Title: DENTIST
Phone: (321) 723-7255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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