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Individual

MATTHEW THOMAS LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
530 7TH AVE SW, HICKORY, NC 28602-3238
(704) 564-3241
Mailing address
1781 TATE BLVD SE STE 204, HICKORY, NC 28602-4216
(828) 855-3779
(828) 855-3781

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11332
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2016
Last updated
07/22/2019
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