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Dr. Ellen Brackett Leaf, DDS
General Practice Dentistry in San Mateo, California
NPI 1992701957

Ellen Brackett Leaf is a General Practice Dentistry based in San Mateo, CA and is specialized in General Practice. Ellen Brackett Leaf practices in San Mateo, CA and has the professional credentials of DDS. The NPI Number for Ellen Brackett Leaf is 1992701957 and holds a License No. 32869 (California).

The current practice location address for Ellen Brackett Leaf is 190 W 25Th Ave, San Mateo, CA and can be reached out via phone at 650-345-1991 and via fax at 650-345-1307.

Location: 190 W 25Th Ave, San Mateo, CA, 94403-2298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992701957
Provider Name
Ellen Brackett Leaf
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
190 W 25Th Ave, San Mateo, CA, 94403-2298
Phone Number
650-345-1991
Fax Number
650-345-1307
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
190 W 25Th Ave
City
San Mateo
State
California
Zip
94403-2298
Phone Number
650-345-1991
Fax Number
650-345-1307
person
Provider Business Mailing Address Details
Address
190 W 25Th Ave
City
San Mateo
State
California
Zip
94403-2298
Phone Number
650-345-1991
Fax Number
650-345-1307
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
32869 (California)
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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