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Individual

DR. GARY CHARLES LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
401 S MAIN ST, STE B-4, ALPHARETTA, GA 30004-1974
(770) 475-7207
(770) 475-0484
Mailing address
401 S MAIN ST, STE B-4, ALPHARETTA, GA 30004-1974
(770) 475-7207
(770) 475-0484

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9750
GA

Other

Enumeration date
02/28/2007
Last updated
07/08/2007
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