Individual
DR. BOBBY DALE LEACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
277 E RAILROAD AVE, STE B, DENHAM SPRINGS, LA 70726-3407
(225) 791-0777
(225) 791-0755
Mailing address
277 E RAILROAD AVE, STE B, DENHAM SPRINGS, LA 70726-3407
(225) 791-0777
(225) 791-0755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2838
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
828380
—
LA
Enumeration date
06/16/2005
Last updated
07/08/2007
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