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Provider Information for 1366537789



DR. ROBERT KENNETH LEARDI DMD

Gender: MALE

Individual NPI: 1366537789

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1366537789
Enumeration Date 2006-10-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 690 UNIONVILLE ROAD
KENNETT SQUARE, PA 19348
United States

Phone: 610-444-8744 | Fax: 610-444-2154
View Map External Link
Primary Practice Address 690 UNIONVILLE ROAD
KENNETT SQUARE, PA 19348
United States

Phone: 610-444-8744 | Fax: 610-444-2154
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice PA DS029103L
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location