Justin A Leath D.D.S.

NPI 1659691004 - Dentist - 122300000X

NPI Details
NPI 1659691004
Gender Male
Enumeration Date 06/08/2010
Last Updated 06/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
15843 WHITE OAK
FRASER MI, 48026-5200, US
Phone (586) 365-9451
Fax
Business Location
15843 WHITE OAK
FRASER MI, 48026-5200, US
Phone (586) 365-9451
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901020209
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According to our database, Dr. Justin A Leath D.D.S. NPI is 1659691004, taxonomy code is 122300000X and license number is 2901020209, license state is located at Michigan. Justin A Leath D.D.S. physically located at 15843 White Oak, Fraser MI, 48026-5200. NPI Number Justin A Leath D.D.S. has the Individual type.

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1659691004 NPI number is provided on an as is basis without warranty of any kind. 1659691004 is maintained by the National Plan & Provider Enumeration System. The contents of Justin A Leath D.D.S. are for informational purposes only.