Roisman, Leon D
Roisman, Leon D is an individual health care provider with primary practice located at 310 S Lake Ave Lower Level, Pasadena CA 91101-3540. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Roisman, Leon D can be contacted via phone (626) 795-6855.Contact Information
Primary practice address
310 S Lake Ave Lower Level
Pasadena CA 91101-3540
Phone: (626) 795-6855
Fax: (626) 432-4270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19960 | California |
| Dental Providers / General Practice | 1223G0001X | 19960 | California |
Profile Details
| NPI number | 1396883237 |
|---|---|
| LBN Legal business name | Roisman, Leon D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396883237 | NPPES |
| California | Other | D19960 | DENTICAL |
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