Individual
JAMES WAYNE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2233 COUNTY ROAD 210 W, SAINT JOHNS, FL 32259-4019
(904) 217-7202
Mailing address
2233 COUNTY ROAD 210 W, SAINT JOHNS, FL 32259-4019
(904) 217-7202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0014607
FL
Other
Enumeration date
02/03/2012
Last updated
01/15/2014
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