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Search › Pennsylvania › General Practice Dentistry

Leonid Gofman, D.D.S

NPI 1265455356 · on the registry since 2006 · sole proprietor

Practice

Address
10890 Bustleton Ave
Suite 107
Philadelphia, PA 19116
Phone
(215) 677-9910
Organisation at this address
Distar Inc.
Yevgenia Lukovsky
Cpr Rehabilitation
Nursing Home Care Management Inc.,
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania