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Individual
DR. LEIGHTON ROGER HOLLEY III
Active
Individual
DR. LEIGHTON ROGER HOLLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002437
WI
1223G0001X
General Practice Dentistry
D-5203
ID
1223G0001X
General Practice Dentistry
DDS-09864
IA
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-6079
MT
Other
Enumeration date
01/24/2014
Last updated
07/23/2021
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