DR. Fred J Leydecker III, D.D.S.

NPI #1639181159 in Sugar Hill, Georgia

Provider Information

NPI Number: 1639181159
Entity Type: Individual
Name: DR. Fred J Leydecker III, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 13, 2006
Last Updated: Sep 12, 2011

Practice Location

Address: 4520 NELSON BROGDON BLVD
City: Sugar Hill
State: Georgia
ZIP Code: 30518-3478
Phone: (770) 296-5032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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