Walter L. Leeks, Iii Dmd, P.c.

NPI 1508076464 - Dentist - 1223G0001X

NPI Details
NPI 1508076464
Enumeration Date 05/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER LOUIS WALTER
Position PRESIDENT
Phone (404) 589-7799
Fax (404) 214-9414
Practice Location
245 N HIGHLAND AVE NE
SUITE 260
ATLANTA GA, 30307-1909, US
Phone (404) 589-7799
Fax (404) 214-9414
Business Location
245 N HIGHLAND AVE NE
SUITE 260
ATLANTA GA, 30307-1909, US
Phone (404) 589-7799
Fax (404) 214-9414
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN 13122
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According to our database, Walter L. Leeks, Iii Dmd, P.c. NPI is 1508076464, taxonomy code is 1223G0001X and license number is DN 13122, license state is located at Georgia. Walter L. Leeks, Iii Dmd, P.c. physically located at 245 N Highland Ave Ne, Atlanta GA, 30307-1909. NPI Number 1033115704 has the healthcare provider type.

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1508076464 NPI number is provided on an as is basis without warranty of any kind. 1508076464 is maintained by the National Plan & Provider Enumeration System. The contents of Walter L. Leeks, Iii Dmd, P.c. are for informational purposes only.