Individual
DR. DANIEL LAWRENCE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 VANDERBILT PARK DR, MISSION CHILDREN'S DENTAL PROGRAM, ASHEVILLE, NC 28803-1700
(828) 213-1715
(828) 213-1705
Mailing address
11 VANDERBILT PARK DR, MISSION CHILDREN'S DENTAL PROGRAM, ASHEVILLE, NC 28803-1700
(828) 213-1715
(828) 213-1705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC4508
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012KF
BCBS GROUP NUMBER
NC
05
—
89902A0
—
NC
Enumeration date
02/06/2007
Last updated
07/08/2007
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