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Dr. Leonard Carl Medura SR., DDS
General Practice Dentistry in Dallas, Pennsylvania
NPI 1912906603

Leonard Carl Medura SR. is a General Practice Dentistry based in Shavertown, PA and is specialized in General Practice. Leonard Carl Medura SR. practices in Dallas, PA and has the professional credentials of DDS. The NPI Number for Leonard Carl Medura SR. is 1912906603 and holds a License No. DS017342L (Pennsylvania).

The current practice location address for Leonard Carl Medura SR. is 1 Tarleton Ave, Dallas, PA and can be reached out via phone at 570-675-1138 and via fax at 570-675-2152.

Location: 1 Tarleton Ave, Dallas, PA, 18708-1341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912906603
Provider Name
Leonard Carl Medura SR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1 Tarleton Ave, Dallas, PA, 18708-1341
Phone Number
570-675-1138
Fax Number
570-675-2152
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Tarleton Ave
City
Dallas
State
Pennsylvania
Zip
18612-1248
Phone Number
570-675-1138
Fax Number
570-675-2152
person
Provider Business Mailing Address Details
Address
1 Tarleton Ave
City
Dallas
State
Pennsylvania
Zip
18612-1248
Phone Number
570-675-1138
Fax Number
570-675-2152
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS017342L (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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