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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice PA DS029103L