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
Fax: (626) 432-4270
Website:

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396883237 NPPES
California Other D19960 DENTICAL

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