Individual
CARLTON WRAY LEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1211 BOULDER CREEK RD, RICHMOND, VA 23225-4164
(540) 793-1619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858734
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
12/16/2020
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