Bafaloukos, Leonard

Bafaloukos, Leonard is an sole proprietor health care provider with primary practice located at 3902 W Camelback Rd , Phoenix AZ 85019-5824. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bafaloukos, Leonard can be contacted via phone (602) 841-5473.

Contact Information

Primary practice address
3902 W Camelback Rd Phoenix AZ 85019-5824
Fax: (602) 841-8640
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1523 Arizona

Profile Details

NPI number 1700969664
LBN Legal business name Bafaloukos, Leonard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700969664 NPPES
Pennsylvania Other 803093 UNITED CONCORDIA
Pennsylvania Other AZ0493590 UNITED CONCORDIA

Popular Providers