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Individual
DR. DANNY BLAINE LEEDS
Active
Individual
DR. DANNY BLAINE LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3197
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136700608
—
AR
01
—
485722
UCCI
AR
01
—
5T397
BC/BS
AR
Enumeration date
08/05/2006
Last updated
02/15/2018
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