DR. Justin A Leath, D.D.S.

NPI #1659691004 in Fraser, Michigan

Provider Information

NPI Number: 1659691004
Entity Type: Individual
Name: DR. Justin A Leath, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 8, 2010
Last Updated: Jun 8, 2010

Practice Location

Address: 15843 WHITE OAK
City: Fraser
State: Michigan
ZIP Code: 48026-5200
Phone: (586) 365-9451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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