DR. Thomas G Leatherman, D.D.S.

NPI #1861594533 in Lorain, Ohio

Provider Information

NPI Number: 1861594533
Entity Type: Individual
Name: DR. Thomas G Leatherman, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6100 S BROADWAY
Address 2: SUITE #300
City: Lorain
State: Ohio
ZIP Code: 44053-3874
Phone: (440) 233-8521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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