Leaf Dentistry LLC

NPI #1104215425 in Grand Prairie, Texas

Provider Information

NPI Number
1104215425
Entity Type
Organization
Organization Name
Leaf Dentistry LLC
Primary Specialty
Dentist
Enumeration Date
Jan 12, 2015
Last Updated
Jan 12, 2015

Practice Location

Address
800 S CENTER ST
State
Texas
ZIP Code
75051-1815
Phone
(972) 264-1662

Authorized Official

Name
CHRISTOPHER BLAKE RICHARDSON, DDS
Title
DENTIST
Phone
(972) 342-5371

Specialties & Taxonomy Codes

Specialty
Dentist

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