Individual
LEON ,JR. HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4600 FULTON MILL RD, MACON, GA 31208-2500
(478) 471-2929
(478) 757-3651
Mailing address
214 JUNIPER LN, MACON, GA 31220-7641
(478) 471-2929
(478) 757-3651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008772
GA
1223G0001X
General Practice Dentistry
3386
AL
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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